Inspection Detail
Inspection: 111858767 - Progressive Casualty Insurance
Inspection Information - Office: Sacramento District Office
Site Address:
Progressive Casualty Insurance
11050 White Rock Rd.
Rancho Cordova, CA 95670
Mailing Address:
11010 White Rock Rd., Rancho Cordova, CA 95670
Union Status: NonUnion
SIC:6411
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/30/1990
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/07/1990
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361285216 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| 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 | 342 A | 11/05/1990 | 10/30/1990 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 3664 A | 11/05/1990 | 12/07/1990 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Other | 3203 A01 | 11/05/1990 | 12/07/1990 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 8:50 a.m. on October 26, 1990, Employee #1 was standing on a pallet with a tier of boxes that had been elevated about 11 ft by a forklift. He was placing boxes on the pallet when he stepped on a box of forms that collapsed, causing him to lose his balance. Employee #1 fell to the concrete floor, landing on his right shoulder and on his head. He suffered a blood clot in the frontal lobe of his brain, and two fractured discs in his back.
Keywords: BLOOD CLOT, COLLAPSE, WORK RULES, INDUSTRIAL TRUCK, UNSTABLE SURFACE, FALL, FALL PROTECTION, ELEVATED WORK PLAT, LOST BALANCE, BRAIN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111858767 | Hospitalized injury | Fracture | Freight, stock and material handlers, n.e.c. |
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