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Inspection Detail
Inspection: 310606934 - Smart & Final Stores Llc, Store #303
Inspection Information - Office: San Bernardino District Office
Inspection Nr: 310606934
Report ID: 0950633
Date Opened: 05/21/2009
Site Address:
Smart & Final Stores Llc, Store #303
907 East Holt Blvd
Ontario, CA 91761
Mailing Address:
, , 00000
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: 10/12/2009
Emphasis:
Case Closed: 08/26/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102607827 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $6,750 | $0 | $0 | $1,500 | $0 | $8,250 |
| Current Penalty | $2,700 | $0 | $0 | $0 | $0 | $2,700 |
| 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 T09 | 10/12/2009 | 11/16/2009 | $0 | $750 | $0 | 11/05/2009 | F - Formal Settlement | |
| 2. | 01002 | Other | 3203 A04 | 10/12/2009 | 11/16/2009 | $0 | $750 | $0 | 11/05/2009 | F - Formal Settlement | |
| 3. | 02001 | Serious | 3668 A02 | 10/12/2009 | 10/26/2009 | $2,700 | $6,750 | $0 | 11/05/2009 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 202598132
Event: 04/21/2009
Employee Is Struck by Fork Lift, Injures Left Lower Leg
On April 21, 2009, Employee #1 was struck by a forklift, injuring her left lower leg. She was treated, but not hospitalized.
Keywords: INDUSTRIAL TRUCK, STRUCK BY, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310606934 | Non Hospitalized injury | Cut/Laceration | Industrial truck and tractor equipment operators |