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Inspection Detail
Inspection: 316209527 - Bodega Latina Corp Dba El Super Store #31
Inspection Information - Office: San Bernardino District Office
Site Address:
Bodega Latina Corp Dba El Super Store #31
16950 Foothill Blvd
Fontana, CA 92335
Mailing Address:
14601 B Lakewood Blvd, Paramount, CA 90723
Union Status: NonUnion
SIC:5141
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/08/2013
Emphasis:
Case Closed: 04/21/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102753456 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $6,750 | $0 | $0 | $1,685 | $0 | $8,435 |
| Current Penalty | $6,750 | $0 | $0 | $1,685 | $0 | $8,435 |
| 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 B01 | 03/08/2013 | 03/13/2013 | $375 | $375 | $0 | 03/13/2013 | Y - State Decision | |
| 2. | 01002 | Other | 3273 A | 03/08/2013 | 04/05/2013 | $750 | $750 | $0 | 03/13/2013 | Y - State Decision | |
| 3. | 01003 | Other | 3380 F01 | 03/08/2013 | 04/05/2013 | $375 | $375 | $0 | 03/13/2013 | Y - State Decision | |
| 4. | 01004 | Other | 3664 A | 03/08/2013 | 03/13/2013 | $185 | $185 | $0 | 03/13/2013 | Y - State Decision | |
| 5. | 02001 | Serious | 3385 A | 03/08/2013 | 03/21/2013 | $6,750 | $6,750 | $0 | 03/13/2013 | Y - State Decision |
Investigation Summary
At approximately 12:16 a.m. on September 12, 2012, Employee #1, a grocery clerk/operator, was operating a Yale fork lift #31, Model Number NR035DANM24TE091, with no load. Employee #1 was making a right turn from a grocery store aisle when he skidded over a recently mopped floor. The forklift struck the deli/dairy products cooler's concrete curb. Employee #1 right foot was pinned between the cooler's concrete curb and the frame of the fork lift, causing a crushing injury to his right foot. Employee #1 was transported to Arrowhead Regional Medical Center and surgery was performed. Employee #1 sustained amputations to three toes on his right foot and was hospitalized.
Keywords: AMPUTATED, IND TRK OPERATOR, PINNED, CRUSHED, INDUSTRIAL TRUCK, SLIPPERY SURFACE, TOE, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316209527 | Hospitalized injury | Amputation | Miscellaneous material moving equipment operators |