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Inspection Detail
Inspection: 112383393 - Va. Dept. Of Transportation: Camp 30 Facility
Inspection Information - Office: Va-E-Manassas (Regional Office)- Safety 0355114
Site Address:
Va. Dept. Of Transportation: Camp 30 Facility
4726 West Ox Road
Fairfax, VA 22030
Mailing Address:
3975 Lake Ridge Dr. Dist. Admin.-Claude Garver, Fairfax, VA 22033
Union Status: NonUnion
SIC:7538
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: StateGovt
Safety/Health: Safety
Close Conference: 04/21/1992
Emphasis:
Case Closed: 06/09/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360301691 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 4 | 1 | 5 | |||
| 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 | Serious | 19100178 M01 | 04/22/1992 | 04/28/1992 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Serious | 19100178 N04 | 04/22/1992 | 04/28/1992 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Serious | 19100178 P01 | 04/22/1992 | 04/28/1992 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Serious | 19100178 Q07 | 04/22/1992 | 04/28/1992 | $0 | $0 | $0 | - | ||
| 5. | 02001 | Willful | 19100178 L | 04/22/1992 | 05/18/1992 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 10:45 a.m. on January 15, 1992, Employees #1 and #2 and a truck driver were standing behind a supply truck near a shop loading door. They were waiting for a forklift to arrive to help unload the supply truck. When the forklift was approximately 20 to 25 ft from the three men, the forklift driver pressed on the brake, but it failed to stop the forklift. The driver hollered for everyone to get out of the way. The forklift continued forward and pushed Employees #1 and #2 into the door jamb. Employee #1 was killed. Employee #2 sustained a broken left thumb and broken nose.
Keywords: BRAKE, EQUIPMENT FAILURE, INDUSTRIAL TRUCK, FRACTURE, INADEQUATE MAINT, NOSE, THUMB, STRUCK BY, MECH MALFUNCTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112383393 | Fatality | Bruise/Contus/Abras | Occupation not reported |