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Inspection Detail

Inspection: 301161931 - Sam'S Club

Inspection Information - Office: Utah

Nr: 301161931Report ID: 0854910Open Date: 09/01/1999

Sam'S Club
1313 S. University Ave.
Provo, UT 84601
Union Status: NonUnion
SIC: 5399/Miscellaneous General Merchandise Stores

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Safety/Health:Safety Close Conference:09/24/1999
Planning Guide: Safety-Manufacturing Close Case:06/27/2002

Related Activity:TypeIDSafetyHealth

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 1 2
Current Violations 1 1 2
Initial Penalty $550 $0 $0 $0 $0 $550
Current Penalty $550 $0 $0 $0 $0 $550
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 19100303 G02 II 10/26/1999 11/01/1999 $550 $550 $0 -
  2. 02001 Other 19100178 Q07 10/26/1999 11/01/1999 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 171058027Event: 09/01/1999Electric Shock - Ground Fault In Metal Rack
An employee was unplugging his forklift from a battery charger to prepare the forklift for use. He reached between his forklift and another one, and his arm contacted both forklifts at the same time. One of the forklifts was grounded. The other one was touching a metal rack that was energized by contact with at least one of the conductors in a three-phase 480-volt power supply cord on a forklift charger. The employee received an electric shock and was hospitalized for his injury.
Keywords: electrical, electric cable, battery charger, e gi vii, ground fault, industrial truck, equipment grounding, electric shock
Inspection Degree Nature Occupation
1 301161931 Hospitalized injury Electric Shock Industrial truck and tractor equipment operators

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