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Inspection Detail
Inspection: 102520079 - Defense Logistics Agency, Ddrw
Inspection Information - Office: Region 09; San Francisco
Site Address:
Defense Logistics Agency, Ddrw
7th & Maritime Sts. Bldg. 313
Oakland, CA 94625
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:4225
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership:
Safety/Health: Safety
Close Conference: 09/02/1992
Emphasis:
Case Closed: 05/20/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360989511 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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. | 01001A | Serious | 19100147 F02 I | 11/10/1992 | 11/16/1992 | $0 | $0 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100147 F02 II | 11/10/1992 | 12/11/1992 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19100178 M02 | 11/10/1992 | 11/16/1992 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01003 | Serious | 19100178 M06 | 11/10/1992 | 11/16/1992 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Willful | 5A0001 | 11/10/1992 | 12/08/1992 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
A forklift driver had pried apart the horizontally closing freight elevator doors so that Employee #1 could reach into the interior of the elevator and push the reset button on the elevator control panel. The reset button is used to restart the elevator should it stop operating between floors, for example. While he was reaching inside the elevator Employee #1's upper body was between the upper and lower elevator doors, which were being held apart by the forks of the forklift. The forks slipped, allowing the multi-ton doors to close suddenly and crush Employee #1's head and upper body, killing him.
Keywords: HEAD, MAINTENANCE, WORK RULES, SLIP, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, ELEVATOR, DOOR
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 102520079 | Fatality | Other | Laborers, except construction | ||
| 2 | 102520079 | Fatality | Other | Miscellaneous material moving equipment operators |