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Inspection Detail
Inspection: 1540817.015 - Safeway, Inc.
Inspection Information - Office: Foster City District Office
Site Address:
Safeway, Inc.
1655 El Camino Real
San Mateo, CA 94402
Mailing Address:
5918 Stoneridge Mall Road, Pleasanton, CA 94588
Union Status: Union
SIC:
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/29/2021
Emphasis:
Case Closed: 11/22/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1769541 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| 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 | 342(A) | 10/29/2021 | $5,000 | $5,000 | $0 | Z - Issued |
Investigation Summary
At 12:00 p.m. on May 2, 2021, an employee working as a stock clerk for a grocery store had received instructions to bring a pallet of eggs into the warehouse. The employee was operating a Linde Model PALW60 Tow Motor (Serial Number 2653-1611) in the stock room when he slipped on the concrete stockroom floor. The employee was still holding onto the tow motor with the PIV engaged in the "on" position causing it continue to move and roll over his right foot. The employee was hospitalized to treat crushing injuries to his foot and required surgery to reduce the swelling.
Keywords: Concrete Floor, Crushed, Foot, Grocery Store, Industrial Truck, Material Handling, Misjudgment, Misjudgment of Hazardous Situation, Powered Industrial Vehicle, Run Over, Slip, Slippery Surface, Stocking, Struck By, Swelling, Warehouse
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1540817.015 | 30 | M | Hospitalized injury | Stock and inventory clerks |