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Inspection Detail
Inspection: 314862947 - Costco Wholesale Corporation
Inspection Information - Office: Los Angeles District Office
Site Address:
Costco Wholesale Corporation
6333 Telegraph Rd.
Commerce, CA 90040
Mailing Address:
999 Lake Dr., Issaquah, WA 98027
Union Status: NonUnion
SIC:5411
NAICS: 452910/Warehouse Clubs and Supercenters
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/08/2013
Emphasis:
Case Closed: 01/09/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102762358 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $18,000 | $0 | $0 | $450 | $0 | $18,450 |
| Current Penalty | $18,000 | $0 | $0 | $450 | $0 | $18,450 |
| 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 | 3314 H | 01/09/2013 | 01/26/2013 | $450 | $450 | $0 | 01/30/2013 | F - Formal Settlement | |
| 2. | 02001 | Serious | 4186 B | 01/09/2013 | 01/14/2013 | $18,000 | $18,000 | $0 | 01/30/2013 | F - Formal Settlement |
Investigation Summary
At approximately 4:30 a.m. on November 26, 2012, Employee #1, a baker wrapper with Costco Wholesale Corporation in Commerce California was operating a pneumatic Muffin Depositor. Employee #1 stuck his hand into a pneumatic Muffin Depositor, amputated the tip of his finger. Employee #1 was transported to USC Medical Center where he was treated and released after the bone of the affected finger was trimmed in surgery.
Keywords: AMPUTATED, FOOD PREPARATION, FINGER, FOOD PACKAGING MACH
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314862947 | Hospitalized injury | Amputation | Occupation not reported |