Inspection Detail

Inspection: 301123337 - Safeway Store 968-2

Inspection Information - Office: American Canyon District Office

Inspection Nr: 301123337

Report ID: 0950622

Date Opened: 08/03/2005

Site Address:
Safeway Store 968-2
709 Lincoln Rd. W
Vallejo, CA 94590

Mailing Address:
Po Box 9070, Pleasanton, CA 94588

Union Status: NonUnion

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: 10/06/2005

Emphasis:

Case Closed: 11/03/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	101481182

Investigation Summary

Investigation Nr: 201487972

Event: 07/19/2005

Employee Injures Back When He Falls from a Ladder

On July 19, 2005, Employee #1, working in a grocery store, was climbing down a ladder when he slipped and fell approximately 6 ft onto a pallet. He was hospitalized with a strained back.

Keywords: LADDER, FIXED LADDER, BACK, FALL, FALLING OBJECT, SPRAIN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301123337			Hospitalized injury	Strain/Sprain	Occupation not reported

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