Inspection Detail

Inspection: 310492491 - 99 Cents Only Stores

Inspection Information - Office: Long Beach District Office

Inspection Nr: 310492491

Report ID: 0950642

Date Opened: 08/05/2008

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

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5411

NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/20/2009

Emphasis:

Case Closed: 08/24/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	102473592

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$5,935	$0	$5,935
Current Penalty	$0	$0	$0	$1,450	$0	$1,450
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	01/16/2009	01/22/2009	$850	$5,000	$0	02/05/2009	F - Formal Settlement
2.	01002	Other	3273 A	01/16/2009	01/22/2009	$600	$935	$0	02/05/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 202454971

Event: 07/22/2008

Employee Strikes Foot on Rack While Riding on Pallet Jack

At approximately 4:45 p.m. on July 22, 2008, Employee #1 was an order collector at the 99-Cents Only Store in Commerce, California. He was using a pallet jack to drop off a load. After dropping the load, he was riding on the front of the empty pallet jack traveling approximately 10-15 miles per hour east bound at location 70 Pick Bin 31. This bin was located on a 10-ft, 2-in. aisle. He maneuvered the pallet jack to the right towards an approximately 2-ft high pallet of metal racks. His right foot struck a metal rack member piece that was projecting outward approximately 1-ft. The employee sustained an open fracture and laceration of the right foot. He was transported to County USC Medical Hospital. Employee #1 was hospitalized and underwent surgery.

Keywords: FRACTURE, STRUCK AGAINST, METAL SHEET, PALLET, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310492491			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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