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Inspection Detail

Inspection: 300777760 - 99 Cents Only Stores

Inspection Information - Office: Long Beach District Office

 

Inspection Nr: 300777760
Report ID: 0950642
Date Opened: 08/22/2001

Site Address:
99 Cents Only Stores
4000 E Union Pacific Ave
Commerce, CA 90023

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:4225

NAICS: 0 

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/30/2002

Emphasis:

Case Closed: 06/10/2003

Related Activity
Type Activity Nr Safety Health
Accident 101050342
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 5 5
Current Violations 5 5
Initial Penalty $0 $0 $0 $2,435 $0 $2,435
Current Penalty $0 $0 $0 $1,350 $0 $1,350
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 01/25/2002 02/27/2002 $300 $375 $0 I - Informal Settlement  
2. 01002 Other 23400023 01/25/2002 02/27/2002 $150 $375 $0 I - Informal Settlement  
3. 01003 Other 23400024 01/25/2002 02/27/2002 $150 $375 $0 I - Informal Settlement  
4. 01004 Other 3203 B02 01/25/2002 02/27/2002 $150 $185 $0 I - Informal Settlement  
5. 01005 Other 3664 A11 01/25/2002 02/06/2002 $600 $1,125 $0 I - Informal Settlement  

Investigation Summary

Investigation Nr: 201055902
Event: 08/14/2001
Employee injured by forklift in collision

At approximately 6:30 a.m. on August 14, 2001, Employee #1 was operating a Yale electric pallet jack, Serial Number A803N08453V, traveling down aisle five to deliver paperwork to a receiving office in a 99 Cents Only store. At the same time, another employee was operating a Crown Equipment electric forklift, Serial Number 1A112534, traveling down the main aisle toward the same receiving office to deliver paperwork. The accident occurred at the intersection of the main aisle and aisle five directly in front of the receiving office. As Employee #1 approached from the left, the other employee in the forklift approached from the right and collided with the pallet jack, striking Employee #1 on the right hip. Employee #1 stated that he slowed the pallet jack but was unable to honk because of a malfunctioning horn; the other employee stated he did not have time to slow down or honk his horn before the two collided. Employee #1 was transported to the East Los Angeles Doctor's Hospital and then to Pacific Alliance Medical Center, where he was treated for a fractured pelvic bone on his right side.

Keywords: FRACTURE, HORN, OBSTRUCTED VIEW, INDUSTRIAL TRUCK, PELVIS, STRUCK BY, JACK

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 300777760 Hospitalized injury Fracture Industrial truck and tractor equipment operators
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