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Inspection Detail

Case Status: OPEN

Note: The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted. For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.

Inspection: 1376016.015 - Adrian Mendez

Inspection Information - Office: Ca Van Nuys

Nr: 1376016.015Report ID: 0950643Open Date: 02/05/2019

Adrian Mendez
10527 N. San Fernando Rd.Null
Pacoima, CA 91333
Union Status: NonUnion
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Mailing: 10527 N. San Fernando Rd.Null, Pacoima, CA 91333

Inspection Type:Fat/Cat
Scope:Partial Advanced Notice:N
Safety/Health:Safety Close Conference:07/03/2019
Close Case:

Related Activity:TypeIDSafetyHealth
Case Status: OPEN

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 4 5
Current Violations 1 4 5
Initial Penalty $4,050 $0 $0 $5,585 $0 $9,635
Current Penalty $4,050 $0 $0 $5,585 $0 $9,635
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 342(A) 07/03/2019 08/08/2019 $5,000 $5,000 $0 Z - Issued
  2. 01002 Other 3203(A) 07/03/2019 08/08/2019 $195 $195 $0 Z - Issued
  3. 01003 Other 3650(T)(33) 07/03/2019 $195 $195 $0 Z - Issued
  4. 01004 Other 3668(A)(2) 07/03/2019 $195 $195 $0 Z - Issued
  5. 02001 Serious 3276(C)(2) 07/03/2019 $4,050 $4,050 $0 Z - Issued

Accident Investigation Summary
Summary Nr: 113330.015Event: 01/14/2019Employee Falls From Ladder And Is Killed
On January 14, 2019, an employee fell from a ladder and was killed from a head i njury.
Keywords: fall, head, ladder
Inspection Degree Nature Occupation
1 1376016.015 Fatality Occupation Not Listed

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