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Inspection Detail

Inspection: 111851952 - Capital Drum Inc

Inspection Information - Office: Sacramento District Office

 

Inspection Nr: 111851952
Report ID: 0950621
Date Opened: 01/09/1991

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

Related Activity
Type Activity Nr Safety Health
Accident 361285356
Violation Summary
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

Violation Items
# 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

Investigation Nr: 170197826
Event: 01/04/1991
Employee's back injured in fall from forklift

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 111851952 Non Hospitalized injury Bruise/Contus/Abras Industrial truck and tractor equipment operators
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