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Inspection Detail
Inspection: 311240857 - Circle K Stores, Inc.
Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)
Inspection Nr: 311240857
Report ID: 0950411
Date Opened: 06/25/2007
Site Address:
Circle K Stores, Inc.
4502 North 19th Avenue
Phoenix, AZ 85015
Mailing Address:
1130 West Warner Road, Building B, Tempe, AZ 85284
Union Status: NonUnion
SIC:5541
NAICS: 447110/Gasoline Stations with Convenience Stores
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 09/25/2007
Emphasis:
Case Closed: 09/19/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101994986 | ||
| Referral | 201987088 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $35,000 | $0 | $0 | $0 | $0 | $35,000 |
| Current Penalty | $14,000 | $0 | $0 | $0 | $0 | $14,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 19100146 C02 | 11/15/2007 | 11/21/2007 | $0 | $7,000 | $0 | 11/20/2007 | F - Formal Settlement | |
| 2. | 01002 | Serious | 19100146 C04 | 11/15/2007 | 12/09/2007 | $7,000 | $7,000 | $0 | 11/20/2007 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01003 | Serious | 19100146 C05 IIC | 11/15/2007 | 11/21/2007 | $7,000 | $7,000 | $0 | 11/20/2007 | F - Formal Settlement | |
| 4. | 01004 | Serious | 19100146 E01 | 11/15/2007 | 11/21/2007 | $7,000 | $7,000 | $0 | 11/20/2007 | F - Formal Settlement | Citation has been deleted. |
| 5. | 01005 | Serious | 19100146 G01 | 11/15/2007 | 12/09/2007 | $0 | $7,000 | $0 | 11/20/2007 | F - Formal Settlement | Citation has been deleted. |
| 6. | 01006A | Serious | 19100146 C04 | 11/15/2007 | 12/09/2007 | $7,000 | $0 | $0 | 11/20/2007 | Q - National Office Adjustment | |
| 7. | 01006B | Serious | 19100146 E01 | 11/15/2007 | 11/21/2007 | $0 | $0 | $0 | 11/20/2007 | Q - National Office Adjustment |
Investigation Summary
Investigation Nr: 201992930
Event: 06/25/2007
Employee Asphyxiated in Underground Tank at Gas Station
On June 25, 2007, Employee #1 was working in a 5-foot 4-inch-deep underground tank at a gas station and was found unconscious. Employee #1 was fatally asphyxiated.
Keywords: UNCONSCIOUSNESS, ASPHYXIATED, GASOLINE, TANK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 311240857 | Fatality | Asphyxia | Occupation not reported |