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Inspection Detail
Inspection: 119818805 - Mervyn'S
Inspection Information - Office: Sacramento District Office
Site Address:
Mervyn'S
1815 Douglas Blvd
Roseville, CA 95678
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:6512
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 08/04/1993
Emphasis:
Case Closed: 03/28/1996
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361496565 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $225 | $0 | $225 |
| Current Penalty | $0 | $0 | $0 | $225 | $0 | $225 |
| 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 | 3273 A | 08/19/1993 | 09/21/1993 | $225 | $225 | $0 | - |
Investigation Summary
Employee #1 entered the building prior to the store opening time. Signs were posted at the front door warning of a slippery floor. Employee #1 walked on carpet approximately halfway through the store before walking on the tile. No signs were posted in the girls' clothing area where the employee slipped on wet tile and received a moderate concussion.
Keywords: HEAD, WORK RULES, SLIP, WALKING SURFACE, FALL, SLIPPERY SURFACE, CONCUSSION, WARNING SIGN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119818805 | Hospitalized injury | Concussion | Sales workers, apparel |