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Inspection Detail
Inspection: 1560015.015 - Safeway Stores 28, Inc
Inspection Information - Office: Long Beach District Office
Site Address:
Safeway Stores 28, Inc
12844 Excelsior Drive
Norwalk, CA 90650
Mailing Address:
12844 Excelsior Drive, Norwalk, CA 90650
Union Status: Union
SIC:
NAICS: 312111/Soft Drink Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/06/2022
Emphasis:
Case Closed: 01/09/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1786082 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,500 | $0 | $5,500 |
| Current Penalty | $0 | $0 | $0 | $3,300 | $0 | $3,300 |
| 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) | 01/06/2022 | $3,000 | $5,000 | $0 | 02/12/2022 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 43000029 A | 01/06/2022 | 02/10/2022 | $300 | $500 | $0 | 02/12/2022 | O - Administrative Law Judge Order |
Investigation Summary
An employee worked for a carbonated water and other beverages manufacturer. The employee second shift from 4:30 p.m. - 3:00 a.m. as a forklift driver removing packaged product from the production line and moving the packaged product throughout the facility. On July 3, 2021, the employee was hospitalized. EE #1. The employee had limited contact with coworkers throughout the facility, however he shared a forklift with coworkers and used common areas such as restrooms, locker rooms and break rooms. On June 21, 2021, the employee worked his last full day. On June 22, 2021, the employee reported to work and failed the entry health screening and was sent home. On June 23, 2021, the employee tested positive for COVID-19. At 9:30 a.m. on June 29, 2021, the employee was hospitalized for a respiratory illness and treated on the hospital's ICU unit. The employee recovered and was discharged 6 days after his admission. Information regarding engineering, administrative and personal protective equipment controls for COVID-19 are not included in the narrative.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1560015.015 | 59 | M | Hospitalized injury | Laborers, except construction |