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Inspection Detail
Inspection: 1202275.015 - 317715351 - Food Services Of America Inc
Inspection Information - Office: Or-E-Salem 1054100
Site Address:
317715351 - Food Services Of America Inc
350 S Pacific Hwy
Woodburn, OR 97071
Mailing Address:
Po Box 25119, Scottsdale, AZ 85255
Union Status: Union
SIC:5141
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/22/2017
Emphasis:
Case Closed: 12/21/2017
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $3,000 | $0 | $0 | $0 | $0 | $3,000 |
| Current Penalty | $1,750 | $0 | $0 | $0 | $0 | $1,750 |
| 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 | 19100178 L04 II B | 05/30/2017 | 06/16/2017 | $1,250 | $500 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100178 N01 | 05/30/2017 | 06/16/2017 | $500 | $1,250 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | OAR 437-001-0760(1)(A)-2 | 05/30/2017 | 07/17/2017 | $0 | $1,250 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 11:00 p.m. on January 2, 2017, Employee #1 was walking a triple jack around another stationary triple jack. A third triple jack was directly in front of him moving at the same pace, until it stopped abruptly. Employee #1's pallet jack ran into the lead pallet jack. Employee #1 jumped on to the deck of his jack with is left foot; however his right foot was crushed between his machine and the machine in front. Employee #1 was not hospitalized.
Keywords: Caught Between, Crushed, Foot, Industrial Truck, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1202275.015 | 23 | M | Hospitalized injury | Occupation not reported |