Inspection Detail

Inspection: 307160697 - Qst Industries, Inc

Inspection Information - Office: Long Beach District Office

Inspection Nr: 307160697

Report ID: 0950642

Date Opened: 04/01/2004

Site Address:
Qst Industries, Inc
4625 District Blvd.
Vernon, CA 90058

Mailing Address:
4625 District Bl, Vernon, CA 90058

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: 09/07/2004

Emphasis:

Case Closed: 07/06/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362618381

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			4		8
Current Violations	2			6		8
Initial Penalty	$35,320	$0	$0	$6,335	$0	$41,655
Current Penalty	$1,980	$0	$0	$5,810	$0	$7,790
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Other	342 A	09/07/2004	09/24/2004	$5,000	$5,000	$0	12/03/2004	F - Formal Settlement
2.	01002	Other	3203 A	09/07/2004	09/24/2004	$100	$410	$0	12/03/2004	F - Formal Settlement
3.	01003	Other	25000008 A	09/07/2004	09/24/2004	$0	$410	$0	12/03/2004	F - Formal Settlement
4.	01004	Other	3241 C	09/07/2004	09/24/2004	$110	$515	$0	12/03/2004	F - Formal Settlement
5.	02001	Other	23400023	09/07/2004	09/17/2004	$200	$4,950	$0	12/03/2004	F - Formal Settlement
6.	03001	Serious	4070 A	09/07/2004	09/17/2004	$180	$6,185	$0	12/03/2004	F - Formal Settlement
7.	04001	Serious	4075 A	09/07/2004	09/17/2004	$1,800	$6,185	$0	12/03/2004	F - Formal Settlement
8.	05001	Other	3650 S12	09/07/2004	09/17/2004	$400	$18,000	$0	12/03/2004	F - Formal Settlement

Investigation Summary

Investigation Nr: 201058500

Event: 03/26/2004

Employee injures leg when struck by forklift

At approximately 10:38 a.m. on March 26, 2004, Employee #1 was stacking rolls onto pallets with his coworker. The coworker, a forklift operator, was backing up a Model 30-Hyster clamp lift forklift from a container. As the operator backed up the forklift onto the loading dock area, the forklift struck Employee #1. The forklift ran over his leg, fracturing bones within the leg. Employee #1 was transported to a medical center for treatment and hospitalized for postoperative care until approximately 15 days later, when he was discharged from the hospital. Causal factors in the accident were that the forklift operator did not ensure employees were clear from the movement of forklift operations and look in the direction of travel prior to the commencement of the work.

Keywords: FRACTURE, INDUSTRIAL TRUCK, STRUCK BY, BACKING UP, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307160697			Hospitalized injury	Fracture	Lay-out workers

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