Inspection Detail

Case Status: CLOSED

Inspection: 1292641.015 - 317719523 - Safeway Inc

Inspection Information - Office: Bend

Inspection Nr: 1292641.015

Report ID: 1054115

Date Opened: 02/05/2018

Site Address:
317719523 - Safeway Inc
320 Sw Century Dr
Bend, OR 97702

Mailing Address:
Po Box 29020, Phoenix, AZ 85038

Union Status: NonUnion

SIC:5141

NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/19/2018

Emphasis:

Case Closed: 05/02/2018

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			4		5
Current Violations	1			4		5
Initial Penalty	$700	$0	$0	$0	$0	$700
Current Penalty	$700	$0	$0	$0	$0	$700
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19100028 B02 I	04/03/2018	04/30/2018	$700	$700	$0	Z - Issued
2.	02002	Other	19100023 D02	04/03/2018	04/30/2018	$0	$0	$0	Z - Issued
3.	02003	Other	19100023 D04	04/03/2018	04/30/2018	$0	$0	$0	Z - Issued
4.	02004	Other	19100023 B09	04/03/2018	05/04/2018	$0	$0	$0	Z - Issued
5.	02005	Other	19100023 B10	04/03/2018	02/05/2018	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 102799.015

Event: 01/30/2018

Employee falls from ladder and fractures ankle

At 8:37 p.m. on January 30, 2018, an employee fell from the third or forth rung of a fixed ladder, fracturing her left ankle and was hospitalized.

Keywords: Ankle, Fall, Fracture, Ladder

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1292641.015	37	F	Hospitalized injury		Miscelaneous food preparation occupations

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