Inspection Detail

Inspection: 306631730 - Unified Western Grocers Inc

Inspection Information - Office: Or-E-Portland - Safety 1 1054111

Inspection Nr: 306631730

Report ID: 1054111

Date Opened: 06/26/2003

Site Address:
Unified Western Grocers Inc
6433 Se Lake Rd
Milwaukie, OR 97222

Mailing Address:
Ct Corporation System 388 State St Ste 420, Salem, OR 97301

Union Status: Union

SIC:5141

NAICS: 424410/General Line Grocery Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/03/2003

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 02/23/2004

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$2,500	$0	$2,500
Current Penalty	$0	$0	$0	$1,000	$0	$1,000
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	19100178 L04 I	10/27/2003	11/27/2003	$0	$0	$0	11/10/2003	L - State Settlement
2.	01002	Other	701070021 C	10/27/2003	10/30/2003	$1,000	$2,500	$0	11/10/2003	L - State Settlement

Investigation Summary

Investigation Nr: 201633872

Event: 06/13/2003

Forklift driver sustains a fractured pelvis

At approximately 8:30 a.m. on June 13, 2003, an employee was moving freight in a grocery warehouse with a stand-up forklift truck. He picked a pallet of goods from the top shelf and drove backward, under a low rack. The forklift, however, was too high to clear the rack. The forklift collided with the rack, and the employee was thrown to the concrete floor. The employee was hospitalized and treated for a fractured pelvis.

Keywords: FRACTURE, WAREHOUSE, DRIVER, INDUSTRIAL TRUCK, PELVIS, PALLET, BACKING UP

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306631730			Hospitalized injury	Fracture	Truck drivers, light

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