Inspection Detail

Inspection: 310196191 - K-Mart

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 310196191

Report ID: 0950643

Date Opened: 03/02/2007

Site Address:
K-Mart
6865 Hollister Ave.
Goleta, CA 93117

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5311

NAICS: 452112/Discount Department Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/17/2007

Emphasis:

Case Closed: 08/17/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101117976

Investigation Summary

Investigation Nr: 202465472

Event: 02/20/2007

Employee Falls from Ladder

On March 2, 2007, Employee #1 was working for a retail department store, when he entered a storage area and climbed onto a ladder to retrieve a box from a shelf. After Employee #1 retrieved the box, he climbed onto the shelf that was approximately 7 ft. to straighten the remaining boxes. Some of the boxes fell on Employee #1, knocking him off balance. Employee #1 fell off the ladder on his back and the ladder fell on top of him. Employee #1's head hit the concrete floor when the ladder fell on him. Employee #1 was unconscious for about two minutes. Employee #1 was taken to the hospital and treated for his injuries.

Keywords: FRACTURE, HEAD, UNCONSCIOUSNESS, LADDER, STRUCK AGAINST, FALL, STRUCK BY, LOST BALANCE, STORAGE AREA, CONCRETE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310196191			Non Hospitalized injury	Concussion	Stock and inventory clerks

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