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Inspection Detail
Case Status: CLOSED
Inspection: 1225156.015 - 317716540 - Grocery Outlet Inc A California Corporation
Inspection Information - Office: Or-E-Portland - Safety 1 1054111
Inspection Nr: 1225156.015
Report ID: 1054111
Date Opened: 04/13/2017
Site Address:
317716540 - Grocery Outlet Inc A California Corporation
20016 Ne Sandy Blvd
Portland, OR 97230
Mailing Address:
5650 Hollis St, Emeryville, CA 94608
Union Status: NonUnion
SIC:5149
NAICS: 424490/Other Grocery and Related Products Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/15/2017
Emphasis:
Case Closed: 11/16/2017
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $300 | $0 | $0 | $0 | $0 | $300 |
| Current Penalty | $300 | $0 | $0 | $0 | $0 | $300 |
| 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 | OAR 437-002-0022(2)(A) | 06/05/2017 | 06/12/2017 | $300 | $300 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 95756.015
Event: 04/10/2017
Employee struck by pallet jack and sustains leg injury
At 7:00 p.m. on April 10, 2017, Employee #1 was struck by a pallet jack when driven by a coworker. The employee was struck in the lower leg and later admitted to the hospital for his injuries.
Keywords: Leg, Powered Industrial Vehicle, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1225156.015 | 30 | F | Hospitalized injury | Occupation not reported |