Inspection Detail

Case Status: CLOSED

Inspection: 1202275.015 - 317715351 - Food Services Of America Inc

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 1202275.015

Report ID: 1054113

Date Opened: 01/05/2017

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

Case Status: CLOSED

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigation Nr: 92085.015

Event: 01/02/2017

Employee's foot is crushed between two pallet jacks

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1202275.015	23	M	Hospitalized injury		Occupation not reported

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