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Inspection Detail
Inspection: 125757906 - Raley'S Grocery #331
Inspection Information - Office: American Canyon District Office
Inspection Nr: 125757906
Report ID: 0950622
Date Opened: 09/07/2004
Site Address:
Raley'S Grocery #331
3330 N. Texas
Fairfield, CA 94533
Mailing Address:
P. O. Box 15618, Sacramento, CA 95652
Union Status: Union
SIC:5411
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/01/2004
Emphasis:
Case Closed: 06/01/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362327694 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $150 | $0 | $150 |
| Current Penalty | $0 | $0 | $0 | $150 | $0 | $150 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3273 A | 10/14/2004 | 10/19/2004 | $150 | $150 | $0 | - |
Investigation Summary
Investigation Nr: 201486792
Event: 08/23/2004
Employee injures hip in slip and fall
Employee #1 was shoveling ice out of a display case in a grocery store and was rounding a corner when he fell either on ice or melted ice and sustained a broken left hip. He was hospitalized with his injuries.
Keywords: FRACTURE, SLIP, FALL, SLIPPERY SURFACE, HIP, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125757906 | Hospitalized injury | Fracture | Occupation not reported |