Inspection Detail

Inspection: 111895462 - Reclamation Service

Inspection Information - Office: American Canyon District Office

Inspection Nr: 111895462

Report ID: 0950622

Date Opened: 02/13/1992

Site Address:
Reclamation Service
101 Blackwelder Drive
Rio Vista, CA 94571

Mailing Address:
P.O. Box 338, Rio Vista, CA 94571

Union Status: NonUnion

SIC:1542

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/17/1992

Emphasis:

Case Closed: 05/18/1992

Related Activity
Type	Activity Nr	Safety	Health
Accident	361318991

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$300	$0	$0	$0	$0	$300
Current Penalty	$300	$0	$0	$0	$0	$300
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	Serious	3664 A01	04/24/1992	05/11/1992	$300	$300	$0		-

Investigation Summary

Investigation Nr: 957001

Event: 02/13/1992

Employee killed when head crushed in forklift overturn

At approximately 9:50 a.m. on February 13, 1992, Employee #1 was operating a Clark 4,000 lb pneumatic tire, propane-powered forklift. He had just finished moving furniture to the rear of the yard and was returning to the main yard when the forklift overturned to the right. Employee #1's head was crushed between the ROPS and the ground and the coroner pronounced Employee #1 dead at the accident site. The ground where Employee #1 was operating the forklift was level and without holes, but was wet and slippery because of recent rains. The Clark service manager inspected the forklift and could not find anything mechanically wrong.

Keywords: HEAD, IND TRK OPERATOR, ROPS, CONSTRUCTION, CRUSHED, INDUSTRIAL TRUCK, SLIPPERY SURFACE, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111895462			Fatality	Other	Construction laborers

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