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Inspection Detail
Inspection: 107067357 - Samuel C. Tillman, Inc.
Inspection Information - Office: Region 09; San Francisco
Inspection Nr: 107067357
Report ID: 0931700
Date Opened: 05/06/1988
Site Address:
Samuel C. Tillman, Inc.
21 Sandalwood
Laguna Hills, CA 92653
Mailing Address:
7838 Bellflower Drive, Buena Park, CA 90620
Union Status: NonUnion
SIC:5031
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/06/1988
Emphasis:
Case Closed: 10/25/1989
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360459275 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $560 | $0 | $0 | $0 | $0 | $560 |
| Current Penalty | $560 | $0 | $0 | $0 | $0 | $560 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260021 B02 | 06/01/1988 | 06/22/1988 | $280 | $280 | $0 | - | ||
| 2. | 01002 | Serious | 19260602 C01 VI | 06/01/1988 | 06/07/1988 | $280 | $280 | $0 | - | ||
| 3. | 02001 | Other | 19260602 C01 VI | 06/01/1988 | 06/22/1988 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 753681
Event: 05/06/1988
Employee killed between tire and fender of forklift
Employee #1 was riding the fender of a forklift when he was pulled in a doubled-up position between the large front tire and the fender of the lift. He was crushed and killed.
Keywords: WORK RULES, RIDING ON EQUIPMENT, INDUSTRIAL TRUCK, CAUGHT BY, CAUGHT BETWEEN, CRUSHED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 107067357 | Fatality | Other | Occupation not reported |