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Inspection Detail
Inspection: 1553884.015 - Bayshore Family Market
Inspection Information - Office: San Francisco District Office
Site Address:
Bayshore Family Market
355 Bayshore Blvd
San Francisco, CA 94124
Mailing Address:
355 Bayshore Blvd, San Francisco, CA 94124
Union Status: NonUnion
SIC:
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/28/2022
Emphasis:
Case Closed: 09/08/2025
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1812538 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $785 | $0 | $785 |
| Current Penalty | $0 | $0 | $0 | $525 | $0 | $525 |
| 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 | 3385(A) | 03/03/2022 | 04/07/2022 | $300 | $450 | $0 | 03/16/2022 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 3668(F) | 03/03/2022 | 04/07/2022 | $225 | $335 | $0 | 03/16/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 12:01 p.m. on September 15, 2021, an employee was working as a grocery manager for a grocery store. The employee was operating a Vestil Model SL-63-AA Electric Pallet Stacker (Serial Number #191358) to move cardboard boxes to the recycling bin. The employee travelled down the backdoor ramp and lost control of the powered industrial vehicle (PIV). The employee was not wearing safety shoes when the PIV rolled over his foot. The employee received medical treatment without hospitalization for a lacerated toe causing the loss of a toenail.
Keywords: Catch Point, Crushed, Equipment Operator, Foot, Grocery Store, Incorrect Equipment, Industrial Truck, Laceration, Lost Control, Manager, Material Handling, Misjudgment, Misjudgment of Hazardous Situation, PIV, PPE, PPE Hazard Assessment, Powered Industrial Vehicle, Ramp, Run Over, Safety Shoe, Supervisor, Toe, Training, Wrong Equipment
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1553884.015 | 32 | M | Non Hospitalized injury | Supervisors, n.e.c. |