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Inspection Detail
Inspection: 310549308 - Safeway, Inc.
Inspection Information - Office: Modesto District Office
Inspection Nr: 310549308
Report ID: 0950624
Date Opened: 12/17/2007
Site Address:
Safeway, Inc.
16900 W Schulte Rd
Tracy, CA 95377
Mailing Address:
Po Box 9070 - Loss Control, Pleasanton, CA 94588
Union Status: Union
SIC:4225
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/29/2007
Emphasis:
Case Closed: 12/29/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101108041 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 5194 I01 | 12/17/2007 | 12/17/2007 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 310549308
Event: 06/29/2007
Employee Fractures Hip While Operating Pallet Jack
While operating a pallet jack, Employee #1 reached for a piece of paper on top of the battery box on the pallet jack and struck a pole. Employee #1 fractured his hip(s) and was hospitalized.
Keywords: FRACTURE, WORK RULES, CAUGHT BETWEEN, WALK-BEHIND FORKLIFT, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310549308 | Hospitalized injury | Fracture | Occupation not reported |