Inspection Detail

Inspection: 307167072 - Smart And Final Stores Corp

Inspection Information - Office: Long Beach District Office

Inspection Nr: 307167072

Report ID: 0950642

Date Opened: 11/18/2005

Site Address:
Smart And Final Stores Corp
5500 Sheila St
Commerce, CA 90040

Mailing Address:
600 Citadel Dr, Commerce, CA 90040

Union Status: NonUnion

SIC:5411

NAICS: 452910/Warehouse Clubs and Supercenters

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/01/2006

Emphasis:

Case Closed: 05/20/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101058881

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				3		3
Current Violations				1		1
Initial Penalty	$0	$0	$0	$3,600	$0	$3,600
Current Penalty	$0	$0	$0	$0	$0	$0
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3272 C	02/28/2006	03/14/2006	$0	$1,200	$0	03/30/2006	W - Empr Withdrew
2.	01002	Other	3272 D	02/28/2006	03/14/2006	$0	$1,200	$0	03/30/2006	W - Empr Withdrew	Citation has been deleted.
3.	01003	Other	3650 S09	02/28/2006	03/14/2006	$0	$1,200	$0	03/30/2006	W - Empr Withdrew	Citation has been deleted.

Investigation Summary

Investigation Nr: 202451795

Event: 11/02/2005

Employee Injures Foot When Forklift Strikes Steel Rack

At approximately 5:00 a.m. on November 2, 2005, Employee #1, working for Smart and Final Stores Corporation, was operating a Crown forklift, Serial Number 1A271041, that had a capacity of 5,000 pounds. The forklift skidded on a slippery floor in the warehouse and collided with a steel rack. The employee's left foot was crushed, and he sustained two broken bones, two torn tendons, and a shattered heel. He was transported to Beverly Hospital in Montebello, CA, and then moved to USC Medical Center in East Los Angeles after five days.

Keywords: FRACTURE, WAREHOUSE, MACHINE OPERATOR, CRUSHED, INDUSTRIAL TRUCK, STORAGE RACK, STRUCK BY, LOST CONTROL, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307167072			Hospitalized injury	Other	Industrial truck and tractor equipment operators

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