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Inspection Detail
Inspection: 300784097 - Sav-On Drug Store #9788
Inspection Information - Office: Long Beach District Office
Site Address:
Sav-On Drug Store #9788
2315 Huntington Dr
Duarte, CA 91010
Mailing Address:
3030 Cullerton Dr, Franklin Park, IL 60131
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: 01/02/2004
Emphasis:
Case Closed: 03/06/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101055143 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $16,875 | $0 | $0 | $6,780 | $0 | $23,655 |
| Current Penalty | $0 | $0 | $0 | $6,150 | $0 | $6,150 |
| 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 | 12/31/2003 | 01/17/2004 | $5,000 | $5,000 | $0 | 01/22/2004 | F - Formal Settlement | |
| 2. | 01002 | Other | 25000010 A | 12/31/2003 | 01/17/2004 | $150 | $280 | $0 | 01/22/2004 | F - Formal Settlement | |
| 3. | 01003 | Other | 3241 C | 12/31/2003 | 01/17/2004 | $300 | $750 | $0 | 01/22/2004 | F - Formal Settlement | |
| 4. | 01004 | Other | 5162 E | 12/31/2003 | 01/17/2004 | $300 | $750 | $0 | 01/22/2004 | F - Formal Settlement | |
| 5. | 02001 | Other | 3642 A | 12/31/2003 | 01/17/2004 | $400 | $16,875 | $0 | 01/22/2004 | F - Formal Settlement |
Investigation Summary
At approximately 7:15 a.m. on November 29, 2003, an employee was working at the receiving area of Sav-On Drug, Branch Store Number 9788, in Duarte, CA. He was helping the truck driver unload merchandise and put empty plastic pallets back in the trailer. He pushed a stack of empty pallets onto a PLT scissor lift by using a pallet jack. The truck driver was standing on the opposite side of the platform waiting to pull the empty pallets into the trailer. The employee put the empty pallets onto the lift, then stood on the lift and used the remote control to raise the lift. He did not notice he was standing too close to the edge of the platform. He lost his balance and fell backwards approximately 3 feet to the concrete floor. He sustained head injuries and was hospitalized.
Keywords: HEAD, FALL, ELEVATED WORK PLAT, AERIAL LIFT, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300784097 | Hospitalized injury | Other | Occupation not reported |