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Inspection Detail
Inspection: 301123097 - Albertson'S Vacaville Distribution Center #8795
Inspection Information - Office: American Canyon District Office
Site Address:
Albertson'S Vacaville Distribution Center #8795
700 Crocker Dr.,
Vacaville, CA 95688
Mailing Address:
700 Crocker Drive, Vacaville, CA 95688
Union Status: Union
SIC:5141
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/12/2005
Emphasis:
Case Closed: 03/31/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362329211 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $900 | $0 | $900 |
| Current Penalty | $0 | $0 | $0 | $900 | $0 | $900 |
| 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 | 3650 S05 | 07/26/2005 | 08/28/2005 | $900 | $900 | $0 | - |
Investigation Summary
On May 30, 2005, Employee #1, working at a grocery wholesale distribution center, was operating a stand-up forklift when he collided with a sit-down forklift being operated by a coworker. Employee #1 sustained a crushed right foot and was hospitalized. Both employees had full-time employment status with the company. Employee #1's forklift was double pallet jack-6,000 lbs capacity Yale model with Serial Number A803N09032U and Equipment Number 8795-EQP-FT-23-98. The coworker's forklift was a sit down lift-5,000 lbs capacity Yale model with Serial Number E108V09522V and Equipment Number 8795-EQP-FT-23-98.
Keywords: IND TRK OPERATOR, WORK RULES, COLLISION, INDUSTRIAL TRUCK, STRUCK BY, FOOT, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 301123097 | Hospitalized injury | Fracture | Occupation not reported |