Inspection Detail

Inspection: 300782554 - 99 Cents Only Stores

Inspection Information - Office: Long Beach District Office

Inspection Nr: 300782554

Report ID: 0950642

Date Opened: 07/25/2003

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

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5399

NAICS: 452910/Warehouse Clubs and Supercenters

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/01/2003

Emphasis:

Case Closed: 09/13/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	101054526

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$11,810	$0	$0	$5,000	$0	$16,810
Current Penalty	$11,810	$0	$0	$5,000	$0	$16,810
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	Latest Event
1.	01001	Other	342 A	12/01/2003	12/18/2003	$5,000	$5,000	$0	-
2.	02001	Serious	3241 C	12/01/2003	12/18/2003	$6,750	$6,750	$0	-
3.	03001	Serious	3656 E	12/01/2003	12/18/2003	$5,060	$5,060	$0	-

Investigation Summary

Investigation Nr: 201057791

Event: 06/09/2003

Employee is injured in fall while doing inventory

At 4:20 p.m. on June 9, 2003, Employee #1, an inventory clerk with 99 Cents Only Store, was using a stock picker to access different levels of merchandise stacks to perform inventory. He was found by other employees sitting in an aisle, bleeding from his head. Employee #1 was hospitalized for a closed head injury with subarachnoid hemorrhage. He could not recall how he fell or his mechanism of injury.

Keywords: HEAD, HEMORRHAGE, FALL, STORAGE AREA

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300782554			Hospitalized injury	Other	Occupation not reported

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