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Inspection Detail
Inspection: 315548370 - Sysco Guest Supply, Llc
Inspection Information - Office: Nc Department Of Labor - Charlotte
Site Address:
Sysco Guest Supply, Llc
202 Ramdin Ct Nw
Concord, NC 28027
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5087
NAICS: 423850/Service Establishment Equipment and Supplies Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/08/2011
Planning Guide: Health-Manufacturing
Emphasis:
Case Closed: 06/25/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102099827 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $12,550 | $0 | $0 | $0 | $0 | $12,550 |
| Current Penalty | $8,000 | $0 | $0 | $0 | $0 | $8,000 |
| 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 | Serious | 95012901 | 06/10/2011 | 06/20/2011 | $8,000 | $3,500 | $0 | 08/03/2011 | J - ALJ Decision | |
| 2. | 01002 | Serious | 19100132 A | 06/10/2011 | 06/20/2011 | $4,500 | $4,500 | $0 | 08/03/2011 | J - ALJ Decision | Citation has been deleted. |
| 3. | 01003 | Other | 19100178 L04 III | 06/10/2011 | 06/15/2011 | $0 | $3,500 | $0 | 08/03/2011 | J - ALJ Decision | |
| 4. | 01004 | Other | 19100178 M05 I | 06/10/2011 | 06/20/2011 | $0 | $1,050 | $0 | 08/03/2011 | J - ALJ Decision |
Investigation Summary
On March 28, 2011, Employee #1 was standing on the forks of a powered industrial truck, which were raised 19 ft to the top of a storage rack. As he stood on the top of the storage rack, he attempted to straighten a leaning pallet of boxes. The boxes fell and knocked him off the rack. He struck the concrete floor below and died.
Keywords: FALL, STORAGE RACK, STRUCK BY, ELEVATED WORK PLAT, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315548370 | Fatality | Other | Supervisors, material moving equipment operators |