Inspection Detail

Inspection: 313507030 - Von'S Store #2818

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 313507030

Report ID: 0950633

Date Opened: 11/23/2009

Site Address:
Von'S Store #2818
11800 De Palma Road
Corona, CA 92883

Mailing Address:
618 Michillinda Ave, Arcadia, CA 91007

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: 04/20/2010

Emphasis:

Case Closed: 06/03/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	102610201

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations
Initial Penalty	$0	$0	$0	$750	$0	$750
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	4543 B02	04/20/2010	05/23/2010	$0	$750	$0	05/04/2010	F - Formal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 202601464

Event: 10/25/2009

Employee's Finger Is Amputated by Bandsaw

At approximately 1:30 p.m. on October 25, 2009, Employee #1, who was employed at a grocery store, was cutting ribs on an energized bandsaw. His right small finger contacted the saw blade and was amputated at the point between the nail and first joint. Employee #1 was transported to Kaiser Permanente Riverside Medical Center, where he was treated and released. Employee #1 verbally declined to participate in the accident investigation. The employer provided documentation indicating that Employee #1 had received job-specific training.

Keywords: AMPUTATED, BANDSAW, FINGER, STRUCK AGAINST, ELECTRIC SAW, SAW, BLADE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	313507030			Non Hospitalized injury	Amputation	Butchers and meat cutters

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