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Inspection Detail
Inspection: 126107697 - Albertson Supermarket
Inspection Information - Office: Monrovia District Office
Site Address:
Albertson Supermarket
15200 E Rosecrans Ave
La Mirada, CA 90638
Mailing Address:
, , 00000
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: 03/21/2005
Emphasis:
Case Closed: 11/05/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362497844 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $18,000 | $0 | $0 | $1,685 | $0 | $19,685 |
| Current Penalty | $0 | $0 | $0 | $785 | $0 | $785 |
| 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 | 5162 C | 03/21/2005 | 04/23/2005 | $0 | $185 | $0 | 09/20/2005 | F - Formal Settlement | |
| 2. | 01002 | Other | 5162 E | 03/21/2005 | 04/23/2005 | $185 | $375 | $0 | 09/20/2005 | F - Formal Settlement | |
| 3. | 01003 | Other | 3203 A02 | 03/21/2005 | 04/23/2005 | $0 | $375 | $0 | 09/20/2005 | F - Formal Settlement | |
| 4. | 01004 | Other | 3668 A01 | 03/21/2005 | 04/23/2005 | $0 | $750 | $0 | 09/20/2005 | F - Formal Settlement | |
| 5. | 02001 | Other | 3657 A | 03/21/2005 | 04/23/2005 | $600 | $18,000 | $0 | 09/20/2005 | F - Formal Settlement |
Investigation Summary
At approximately 6:27 p.m. on October 19, 2004, Employee #1 and a coworker were lifted up on the roof of a cage about 10 ft high from the ground by riding on the forks of a forklift. They were thrown from the forks when the forklift backed up. Employee #1 was hospitalized with a broken leg and shattered ankle.
Keywords: FRACTURE, HOISTING MECHANISM, WAREHOUSE, INDUSTRIAL TRUCK, FALL, MOTOR VEHICLE, ANKLE, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126107697 | Hospitalized injury | Fracture | Stock and inventory clerks |