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Inspection Detail
Inspection: 125472670 - Levy Premium Foodservice Limited Partnership Dba L
Inspection Information - Office: American Canyon District Office
Site Address:
Levy Premium Foodservice Limited Partnership Dba L
29355 Arnold Drive
Sonoma, CA 95476
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5812
NAICS: 722212/Cafeterias
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/07/2012
Emphasis:
Case Closed: 09/20/2014
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102650868 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $27,000 | $0 | $0 | $0 | $0 | $27,000 |
| Current Penalty | $13,500 | $0 | $0 | $0 | $0 | $13,500 |
| 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 | 3650 T | 09/07/2012 | 09/12/2012 | $13,500 | $13,500 | $0 | 09/28/2012 | J - ALJ Decision | |
| 2. | 02001 | Serious | 3653 A | 09/07/2012 | 09/12/2012 | $0 | $13,500 | $0 | 09/28/2012 | J - ALJ Decision |
Investigation Summary
On June 22, 2012, Employee #1 was working as a food service and beverage manager at a cafeteria or buffet. He was operating a forklift truck, when it tipped over. Employee #1 was pinned between the cab of the forklift and the ground. He sustained crushing injuries to his right leg and arm. Employee #1 was hospitalized and treated for his injuries.
Keywords: FOOD PREPARATION, IND TRK OPERATOR, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, ARM, LEG, OVERTURN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125472670 | Hospitalized injury | Other | Supervisors, food preparation & service occupation |