Inspection Detail

Inspection: 315356311 - Sysco South Florida, Inc

Inspection Information - Office: Fort Lauderdale Area Office

Inspection Nr: 315356311

Report ID: 0418800

Date Opened: 09/02/2011

Site Address:
Sysco South Florida, Inc
12500 Sysco Way
Medley, FL 33170

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5141

NAICS: 424410/General Line Grocery Merchant Wholesalers

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/07/2011

Emphasis: L:Forklift, S:Powered Ind Vehicle

Case Closed: 03/29/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	100682467

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$7,000	$0	$0	$0	$0	$7,000
Current Penalty	$4,200	$0	$0	$0	$0	$4,200
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19100178 P01	02/29/2012	03/21/2012	$4,200	$7,000	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 20067823

Event: 09/02/2011

Employee Falls Off a Forklift and Later Dies

At approximately 8:58 am, on September 2, 2011, Employee #1 of Sysco South Florida, Inc., struck a storage isle bin while operating a forklift. The equipment was stuck under the bin and Employee #1 asked for assistance from Employee #2. While Employee #2 used his forklift to lift the bin and liberate the stuck forklift Employee #1 moved the damaged forklift about 23 feet. According to Employee #2, Employee #2 appeared to be in physical distress and fell from the forklift, struck his head on the cement floor and was unresponsive. A 911 call for emergency assistance was made and emergency assistance was provided to the victim, including CPR. Employee #1 was taken to a local hospital where was pronounced dead.

Keywords: HEAD, CPR, STRUCK AGAINST, INDUSTRIAL TRUCK, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315356311			Fatality	Other	Occupation not reported

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