Inspection Detail

Inspection: 120220017 - Pak N Save Foods

Inspection Information - Office: American Canyon District Office

Inspection Nr: 120220017

Report ID: 0950622

Date Opened: 11/03/1993

Site Address:
Pak N Save Foods
4405 Century Boulevard
Pittsburg, CA 94565

Mailing Address:
, , 00000

Union Status: Union

SIC:5411

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/12/1994

Emphasis:

Case Closed: 04/14/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	362106841

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$1,125	$0	$0	$300	$0	$1,425
Current Penalty	$1,125	$0	$0	$300	$0	$1,425
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	342 A	02/02/1994	11/03/1993	$300	$300	$0		-
2.	02001	Serious	3657 B	02/02/1994	02/16/1994	$1,125	$1,125	$0		-

Investigation Summary

Investigation Nr: 170725667

Event: 08/11/1993

Employee falls from industrial truck

At around 6:00 a.m. on August 11, 1993, Employee #1 and a coworker were pulling out stock from some storage racks. In aisle #4, the coworker operated the forklift and elevated Employee #1, who stood on a pallet being raised by the forklift. When he was about 8 to 9 feet high, Employee #1 tried to step onto a pallet on top of the steel storage rack. The pallet on the storage rack tilted and Employee #1 fell backward to the forklift's pallet and then onto the concrete floor. Employee #1 was taken to Los Medanos Hospital in Pittsburg for cerebral concussion, head laceration, and a herniated disc.

Keywords: PERSONNEL CAGE, HEAD, WORK RULES, BACK, INDUSTRIAL TRUCK, LACERATION, UNSTABLE SURFACE, FALL, PALLET, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120220017			Hospitalized injury	Concussion	Sales workers, other commodities

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