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Inspection Detail
Inspection: 111851952 - Capital Drum Inc
Inspection Information - Office: Sacramento District Office
Site Address:
Capital Drum Inc
749 Berry St.
Roseville, CA 95678
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5085
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/09/1991
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 02/25/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361285356 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 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. | 01001 | Other | 3577 E | 01/25/1991 | 02/01/1991 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 6151 G01 | 01/25/1991 | 02/26/1991 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Other | 6151 G02 | 01/25/1991 | 02/26/1991 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Other | 3314 A | 01/25/1991 | 02/26/1991 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 2:30 p.m. on January 4, 1991, Employee #1 was dismounting a 2,000 lb capacity Toyota forklift when he stepped on a rounded edge, slipped, and fell about 3 1/2 ft. His back struck the edge of the forklift and he landed in a sitting position. Employee #1 suffered a bruised back and was taken by paramedics to Roseville Hospital, where he was treated and released. Employee #1's boots were muddy at the time of the accident.
Keywords: CLOTHING, IND TRK OPERATOR, SLIP, STRUCK AGAINST, BACK, INDUSTRIAL TRUCK, FALL, SLIPPERY SURFACE, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111851952 | Non Hospitalized injury | Bruise/Contus/Abras | Industrial truck and tractor equipment operators |