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Inspection Detail
Inspection: 1015938.015 - Smart & Final Stores Llc
Inspection Information - Office: Monrovia District Office
Site Address:
Smart & Final Stores Llc
8675 Baseline Rd.
Rancho Cucamonga, CA 91730
Mailing Address:
600 Citadel Dr, Commerce, CA 90040
Union Status: NonUnion
SIC:
NAICS: 424490/Other Grocery and Related Products Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/02/2015
Emphasis:
Case Closed: 01/08/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 928173 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,000 | $0 | $1,000 |
| Current Penalty | $0 | $0 | $0 | $1,000 | $0 | $1,000 |
| 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 | 3650(T)(1) | 06/02/2015 | 07/05/2015 | $1,000 | $1,000 | $0 | Z - Issued |
Investigation Summary
At 12:00 a.m. on December 3, 2014, Employee #1 was loading a truck with pallets. After he unloaded the pallets, Employee #1 was backing up the forklift in the reverse direction to go grab the rest of the empty pallets that were located in the dock along the guardrails. As the Employee #1 was backing up the forklift in the reverse directions, he lost control, the brakes were not applied to the forklift. The forklift could not be stopped and he hit the guardrails knocking them over and causing the forklift to fall to the ground approximately five feet. Employee #1 suffered an amputations to all his toes, when the forklift landed on his foot.
Keywords: Amputation, Brake, Industrial Truck, Lost Control, Roll-Over, Toe
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1015938.015 | 62 | M | Hospitalized injury | Occupation Not Listed |