Inspection Detail

Case Status: CLOSED

Inspection: 1204374.015 - Safeway Inc.

Inspection Information - Office: Modesto District Office

Inspection Nr: 1204374.015

Report ID: 0950624

Date Opened: 01/23/2017

Site Address:
Safeway Inc.
16900 W. Schulte Rd
Tracy, CA 95377

Mailing Address:
16900 W. Schulte Rd, Tracy, CA 95377

Union Status: Union

SIC:

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/09/2017

Emphasis:

Case Closed: 07/07/2017

Related Activity
Type	Activity Nr	Safety	Health
Accident	1174044

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$600	$0	$600
Current Penalty	$0	$0	$0	$600	$0	$600
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	Contest	Latest Event	Note
1.	01001	Other	3203(A)(4)	06/09/2017		$600	$600	$0		Z - Issued

Investigation Summary

Investigation Nr: 92339.015

Event: 01/17/2017

Employee sustains laceration when caught between forklift an

At 8:30 a.m. on January 17, 2017, Employee #1 was putting away a forklift that had been returned from the maintenance shop. The forklift was parked next to the charging station gate by the interchange department. The employee unlocked the gate and opened it, then got on the forklift to put it away in the charging area. The gate closed, but was resting at an angle so that the gate pole was sticking out. Employee #1's right leg was impaled by the gate pole and he was pinned between the forklift and the gate. The employee was not hospitalized.

Keywords: Caught Between, Impaled, Laceration, Leg, Pinned, Powered Industrial Vehicle

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1204374.015	57	M	Non Hospitalized injury		Industrial truck and tractor equipment operators

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