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Inspection Detail
Inspection: 315530824 - Westminster Superstore Llc Dba Westminster Superst
Inspection Information - Office: Santa Ana District Office
Site Address:
Westminster Superstore Llc Dba Westminster Superst
15440 Beach Blvd Suite 128
Westminster, CA 92683
Mailing Address:
15440 Beach Blvd Suite 128, Westminster, CA 92683
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: 12/18/2012
Emphasis:
Case Closed: 11/17/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102815446 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 6 | 10 | |||
| Current Violations | 4 | 6 | 10 | |||
| Initial Penalty | $52,650 | $0 | $0 | $4,125 | $0 | $56,775 |
| Current Penalty | $37,260 | $0 | $0 | $3,280 | $0 | $40,540 |
| 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 | 01/07/2013 | 01/10/2013 | $325 | $400 | $0 | 01/25/2013 | F - Formal Settlement | |
| 2. | 01002 | Other | 3650 T01 | 01/04/2013 | 01/09/2013 | $365 | $450 | $0 | 01/25/2013 | F - Formal Settlement | |
| 3. | 01003 | Other | 3650 T17 | 01/07/2013 | 01/10/2013 | $480 | $675 | $0 | 01/25/2013 | F - Formal Settlement | |
| 4. | 01004 | Other | 3650 T26 | 01/07/2013 | 01/10/2013 | $810 | $1,000 | $0 | 01/25/2013 | F - Formal Settlement | |
| 5. | 01005 | Other | 3657 I | 01/07/2013 | 01/10/2013 | $650 | $800 | $0 | 01/25/2013 | F - Formal Settlement | |
| 6. | 01006 | Other | 3668 D02 | 01/07/2013 | 01/10/2013 | $650 | $800 | $0 | 01/25/2013 | F - Formal Settlement | |
| 7. | 02001 | Serious | 3657 B02 | 01/07/2013 | 01/10/2013 | $20,250 | $20,250 | $0 | 01/25/2013 | F - Formal Settlement | |
| 8. | 03001 | Serious | 3657 E | 01/07/2013 | 01/10/2013 | $8,100 | $8,100 | $0 | 01/25/2013 | F - Formal Settlement | |
| 9. | 04001 | Serious | 3646 B | 01/07/2013 | 01/10/2013 | $810 | $8,100 | $0 | 01/25/2013 | F - Formal Settlement | |
| 10. | 05001 | Serious | 3646 E | 01/07/2013 | 01/10/2013 | $8,100 | $16,200 | $0 | 01/25/2013 | F - Formal Settlement |
Investigation Summary
On September 22, 2012, Employee #1 was changing light bulbs on the outside of a market. He was using an upright MX19 scissor lift on the forks of a Toyota model 42-FGCU15 forklift to access the light fixtures. The scissor lift was extended to a height of 22.33 ft. As he went to change a bulb, the scissor lift tilted and fell off the forks. Employee #1 fell to the asphalt parking lot and sustained head injuries that killed him.
Keywords: HYDRAULIC LIFT, INSTALLING, LIGHTING FIXTURE, FALL, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315530824 | Fatality | Fracture | Managers and administrators, n.e.c |