Translate
Inspection Detail
Inspection: 313480873 - Pw Supermarkets, Inc.
Inspection Information - Office: Fremont District Office
Inspection Nr: 313480873
Report ID: 0950612
Date Opened: 10/22/2009
Site Address:
Pw Supermarkets, Inc.
1665 Foxworthy Avenue
San Jose, CA 95124
Mailing Address:
2001 Gateway Place,Suite 220w, San Jose, CA 95110
Union Status: Union
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: 01/06/2010
Emphasis:
Case Closed: 04/07/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102640224 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $375 | $0 | $375 |
| Current Penalty | $0 | $0 | $0 | $375 | $0 | $375 |
| 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 A | 01/28/2010 | 03/17/2010 | $375 | $375 | $0 | - |
Investigation Summary
Investigation Nr: 202599684
Event: 09/23/2009
Employee Is Injured in Fall
On September 23, 2009, Employee #1 was stocking milk in a grocery store while standing on a ledge. He slipped and fell backward onto milk crates. Employee #1 was hospitalized for unspecified fractures.
Keywords: FRACTURE, SLIP, FALL, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313480873 | Hospitalized injury | Fracture | Stock and inventory clerks |