Inspection Detail

Inspection: 311125777 - Sam Levitz Furniture Company, Inc.

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 311125777

Report ID: 0950411

Date Opened: 05/03/2007

Site Address:
Sam Levitz Furniture Company, Inc.
3430 East 36th Street
Tucson, AZ 85713

Mailing Address:
3434 East 36th Street, Tucson, AZ 85713

Union Status: NonUnion

SIC:5712

NAICS: 442110/Furniture Stores

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/03/2007

Emphasis:

Case Closed: 10/03/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101995017

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	5			11		16
Current Violations	5			11		16
Initial Penalty	$19,000	$0	$0	$0	$0	$19,000
Current Penalty	$19,000	$0	$0	$0	$0	$19,000
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	Latest Event
1.	01001	Serious	230403 A	09/04/2007	09/26/2007	$5,000	$5,000	$0	-
2.	01002	Serious	19100023 C01	09/04/2007	09/08/2007	$5,000	$5,000	$0	-
3.	01003	Serious	19100037 A04	09/04/2007	09/08/2007	$2,000	$2,000	$0	-
4.	01004	Serious	19100178 G02	09/04/2007	09/08/2007	$2,000	$2,000	$0	-
5.	01005A	Serious	19100178 L01 I	09/04/2007	09/26/2007	$5,000	$5,000	$0	-
6.	01005B	Serious	19100178 M03	09/04/2007	09/08/2007	$0	$0	$0	-
7.	02001	Other	19100022 D01	09/04/2007	09/08/2007	$0	$0	$0	-
8.	02002	Other	19100132 A	09/04/2007	09/26/2007	$0	$0	$0	-
9.	02003	Other	19100157 G02	09/04/2007	09/26/2007	$0	$0	$0	-
10.	02004	Other	19100242 B	09/04/2007	09/08/2007	$0	$0	$0	-
11.	02005	Other	19100303 F	09/04/2007	09/08/2007	$0	$0	$0	-
12.	02006	Other	19100305 G02 III	09/04/2007	09/08/2007	$0	$0	$0	-
13.	02007	Other	19100334 A03 I	09/04/2007	09/08/2007	$0	$0	$0	-
14.	02008	Other	19101200 E01	09/04/2007	09/26/2007	$0	$0	$0	-
15.	02009	Other	19101200 F09	09/04/2007	09/08/2007	$0	$0	$0	-
16.	02010	Other	19101200 G01	09/04/2007	09/26/2007	$0	$0	$0	-
17.	02011	Other	19101200 H02 I	09/04/2007	09/26/2007	$0	$0	$0	-

Investigation Summary

Investigation Nr: 201992963

Event: 05/02/2007

Employee Lacerates Head in Fall

Employee #1 was retrieving furniture accessories from a storage mezzanine approximately 35-ft to 45-ft above the floor. Employee #1 had to disconnect his fall protection to access the mezzanine area. Employee #1 jumped approximately 5 ft from the Crown Lift Platform to the mezzanine. When Employee #1 attempted to jump back to the Crown Lift platform from mezzanine, he fell between the mezzanine and lift platform. Employee #1 struck his head on a steel bumper at floor level. Employee #1 was hospitalized.

Keywords: HEAD, WAREHOUSE, STRUCK AGAINST, LACERATION, FALL, FALL PROTECTION, AERIAL LIFT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	311125777			Hospitalized injury	Cut/Laceration	Occupation not reported

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