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Inspection Detail
Inspection: 126190164 - Payless Food
Inspection Information - Office: Monrovia District Office
Site Address:
Payless Food
12301 Norwalk Bl
Norwalk, CA 90650
Mailing Address:
12301 Norwalk Bl, Norwalk, CA 90650
Union Status: NonUnion
SIC:5411
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/09/2005
Emphasis:
Case Closed: 04/28/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362601858 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 5 | 6 | |||
| Current Violations | 1 | 5 | 6 | |||
| Initial Penalty | $18,000 | $0 | $0 | $7,625 | $0 | $25,625 |
| Current Penalty | $18,000 | $0 | $0 | $7,625 | $0 | $25,625 |
| 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 | Other | 342 A | 12/12/2005 | 01/14/2006 | $5,000 | $5,000 | $0 | - | ||
| 2. | 01002 | Other | 25000025 | 12/12/2005 | 01/14/2006 | $375 | $375 | $0 | - | ||
| 3. | 01003 | Other | 3668 F | 12/12/2005 | 01/14/2006 | $750 | $750 | $0 | - | ||
| 4. | 01004 | Other | 3650 S07 | 12/12/2005 | 01/14/2006 | $750 | $750 | $0 | - | ||
| 5. | 01005 | Other | 3664 A | 12/12/2005 | 01/14/2006 | $750 | $750 | $0 | - | ||
| 6. | 02001 | Serious | 3668 A01 | 12/12/2005 | 01/14/2006 | $18,000 | $18,000 | $0 | - |
Investigation Summary
At approximately 12:38 p.m. on June 20, 2005, Employee #1, an employee of a grocery store, was driving a forklift on reverse through the loading dock area. While he was driving, he heard a noise. Employee #1 tried to stop the forklift to check where the noise is coming from, but the forklift did not stop, and the brakes did not work. The forklift went off the loading dock area, and Employee #1 was trapped underneath the forklift. Employee #1's the big right toe was partially amputated. He was hospitalized for 5 days.
Keywords: AMPUTATED, EQUIPMENT OPERATOR, DRIVER, EQUIPMENT FAILURE, CAUGHT BETWEEN, INDUSTRIAL TRUCK, TOE, MOTOR VEHICLE, ANKLE, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126190164 | Hospitalized injury | Amputation | Industrial truck and tractor equipment operators |