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Inspection Detail
Inspection: 317288611 - Sysco Sacramento, Inc.
Inspection Information - Office: Nv-E-Reno 0953210
Site Address:
Sysco Sacramento, Inc.
1635 Robb Drive
Reno, NV 89523
Mailing Address:
7062 Pacific Avenue, Pleasant Grove, CA 95668
Union Status: Union
SIC:5141
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/15/2013
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/31/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102270766 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 2 | 2 | 4 | |||
| Initial Penalty | $11,250 | $0 | $0 | $0 | $0 | $11,250 |
| Current Penalty | $7,875 | $0 | $0 | $0 | $0 | $7,875 |
| 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 | Serious | 19100178 L01 II | 10/29/2013 | 12/01/2013 | $4,900 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100178 P01 | 10/29/2013 | 11/02/2013 | $2,975 | $4,250 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 19040030 A | 10/29/2013 | 11/02/2013 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 03001 | Other | 618037503 | 10/29/2013 | 11/06/2013 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 9:35 a.m. on September 19, 2013, Employee #1 was loading a pallet onto a truck equipped with a lift gate. The electric pallet jack (Raymond Walkie Pallet Lift Truck, Model Number 102T-F45L and Serial Number 102-11-19511) slipped backwards on the lift gate and pinned his leg between the pallet jack and folding ramp of the lift gate. Employee #1 lost his balance, falling and striking his head on pavement below. He sustained a scalp laceration and a knee sprain in the fall. Employee #1 was transported to medical center, where he received treatment and was hospitalized.
Keywords: KNEE, LOADING, HEAD, HYDRAULIC JACK, SCALP, LACERATION, TRUCK, FALL, LOST BALANCE, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 317288611 | Hospitalized injury | Cut/Laceration | Occupation not reported |