Inspection Detail

Inspection: 300784378 - Marshalls Department Store

Inspection Information - Office: Long Beach District Office

Inspection Nr: 300784378

Report ID: 0950642

Date Opened: 01/07/2004

Site Address:
Marshalls Department Store
564 W Huntington Dr
Monrovia, CA 91016

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5311

NAICS: 452111/Department Stores (except Discount Department Stores)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 06/17/2004

Emphasis:

Case Closed: 09/13/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	362617623

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				3		3
Current Violations				3		3
Initial Penalty	$0	$0	$0	$5,560	$0	$5,560
Current Penalty	$0	$0	$0	$2,700	$0	$2,700
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Other	342 A	06/22/2004	07/16/2004	$2,500	$5,000	$0	07/22/2004	F - Formal Settlement
2.	01002	Other	3203 A07 C	06/22/2004	07/16/2004	$0	$280	$0		F - Formal Settlement
3.	01003	Other	3276 B	06/22/2004	07/16/2004	$200	$280	$0		F - Formal Settlement

Investigation Summary

Investigation Nr: 201058336

Event: 12/31/2003

Employee Suffers Concussion in Fall from Ladder

At approximately 9:00 a.m. on December 31, 2003, an employee, maintenance custodian, was cleaning the ceiling vents. He had done this job before in the past. The employee had been working for the company for almost six years. His primary duties were to clean the floors, the merchandise and merchandising displays. Occasionally he also cleaned the ceiling vents. This is done with a sprayed on liquid cleaner and a cloth. The 13.5-high ceilings were accessed by a 12-foot aluminum ladder. On December 31, while cleaning the ceiling vents, he felt dizzy and had a headache. As he progressed with his work, he felt more dizzy and fell from the ladder onto some shelving containing glass merchandise and then onto the floor. The employee suffered concussion and was hospitalized for more than 24 hours.

Keywords: JANITOR, HEAD, LADDER, FALL, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300784378			Hospitalized injury	Concussion	Janitors and cleaners

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