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Inspection Detail
Inspection: 312357304 - Kim Sovanna, Llc Dba Pacific Ranch Supermarket
Inspection Information - Office: Oakland District Office
Site Address:
Kim Sovanna, Llc Dba Pacific Ranch Supermarket
15833 Channel St
San Lorenzo, CA 94580
Mailing Address:
, , 00000
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: 10/29/2009
Emphasis:
Case Closed: 12/21/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101503480 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $525 | $0 | $525 |
| Current Penalty | $0 | $0 | $0 | $525 | $0 | $525 |
| 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 | 3203 A04 | 11/04/2009 | 11/09/2009 | $525 | $525 | $0 | - |
Investigation Summary
On August 10, 2009, Employee #1 was operating a meat grinder. His right hand fingers were lacerated, after his hand was caught in the grinder. Employee #1 was admitted, treated, and discharged from Eden Hospital on August 10, 2009.
Keywords: GRINDER, FINGER, CAUGHT BY, LACERATION, MEAT GRINDER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312357304 | Non Hospitalized injury | Cut/Laceration | Butchers and meat cutters |