Inspection Detail

Inspection: 310605563 - Burlington Coat Factory

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 310605563

Report ID: 0950633

Date Opened: 01/30/2009

Site Address:
Burlington Coat Factory
570-A East Mill Street
San Bernardino, CA 92410

Mailing Address:
570 West Mill Street, Suite A, San Bernardino, CA 92410

Union Status: NonUnion

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/08/2009

Emphasis:

Case Closed: 09/19/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	102555810

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$560	$0	$560
Current Penalty	$0	$0	$0	$560	$0	$560
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	Note
1.	01001	Other	3650 T09	07/08/2009	08/10/2009	$560	$560	$0		-

Investigation Summary

Investigation Nr: 202597704

Event: 01/09/2009

Lift Operator's Foot Is Crushed by Storage Rack

At approximately 1:26 p.m. on January 9, 2009, Employee was in a warehouse operating a Hyster High Lift, Model Number F-19. Employee stated she was going on a break. She turned from the rack area, and the High Lift started to slide. She put out her foot to stop it from hitting the rack. Her left foot was crushed between the frame of the forklift she was operating and the support column at the end of the storage rack. Employee was transported to Loma Linda University Medical Center where she was admitted and surgery was performed. Employee was hospitalized for approximately two days. The investigation was conducted on January 30, 2009. Her employer provided documentation for support. Employee was a certified forklift operator. Subsequent to the accident, the forklift being operated at the time of her injury was inspected in-house by maintenance personnel, and no deficiencies were noted.

Keywords: CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, STORAGE RACK, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310605563			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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