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Inspection Detail
Inspection: 1538933.015 - Costco Wholesale Corporation
Inspection Information - Office: Bridgeport Area Office
Site Address:
Costco Wholesale Corporation
1718 Boston Post Road
Milford, CT 06460
Mailing Address:
999 Lake Drive, Issaquah, WA 98027
Union Status: NonUnion
SIC:
NAICS: 452311
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/24/2021
Emphasis: L:Forklift
Case Closed: 09/22/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1780307 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| Current Penalty | $9,000 | $0 | $0 | $0 | $0 | $9,000 |
| 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 | 19100141 A04 II | 09/21/2021 | 10/21/2022 | $9,000 | $13,653 | $0 | 10/20/2021 | F - Formal Settlement |
Investigation Summary
At 9:17 a.m. on June 28, 2021, Employee #1 was operating a Raymond pallet jack carrying a load of pallets in a grocery store. While making a turn on a damp, wet floor, the employee struck a chicken rotisserie warmer located between the meat and chicken departments. Employee #1 sustained a broken leg and multiple fractures and was hospitalized for treatment.
Keywords: Broken Bone, Floor, Flooring , Fracture, Leg, Pallet, Pallet Jack, Pit, Slippery Surface, Wet
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1538933.015 | 41 | M | Hospitalized injury | Supervisors, material moving equipment operators |