Inspection Detail

Case Status: CLOSED

Inspection: 1369203.015 - Nestle Usa, Inc.

Inspection Information - Office: Naperville Area Office

Inspection Nr: 1369203.015

Report ID: 0521400

Date Opened: 01/04/2019

Site Address:
Nestle Usa, Inc.
300 W. Stevenson Rd
Ottawa, IL 61350

Mailing Address:
30003 Bainbridge Road, Solon, OH 44139

Union Status: NonUnion

SIC:

NAICS: 484122/ General Freight Trucking, Long-Distance, Less Than Truckload

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/25/2019

Emphasis: L:Piv

Case Closed: 07/24/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1411945	Yes

Case Status: CLOSED

Violation Summary
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

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	19100026 A	06/26/2019	08/02/2019	$0	$0	$0		Z - Issued

Investigation Summary

Investigation Nr: 112286.015

Event: 12/26/2018

Employee is struck by falling pallet jack, falls, and incurs

At 6:00 p.m. on December 26, 2018, Employee #1 backed a refrigerated box truck up to the dock at the mobile cross dock station. The employee put the dock plate in position, and was operating the 1,750 pound electric pallet jack on the dock plate in order to retrieve the empty pallets from inside of the delivery truck. As he was unloading the empty pallets, the hinged dock plate slipped between the dock and the back of the truck. Employee #1 fell approximately four feet to the ground and was struck in the face by the electric pallet jack that had also fallen between the dock and truck. He sustained fractured jaws, broken teeth, injured shoulder and hip, and was hospitalized for treatment.

Keywords: Fall, Falling Object, Fracture, Hip, Jaw, Loading Dock, Pallet, Powered Industrial Vehicle, Shoulder, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1369203.015	54	M	Hospitalized injury		Truck drivers, heavy

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