Translate
Inspection Detail
Inspection: 119947901 - Uspl Ltd
Inspection Information - Office: San Bernardino District Office
Site Address:
Uspl Ltd
12903 Jurupa Ave
Fontana, CA 92337
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3089
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/08/2000
Emphasis:
Case Closed: 06/05/2001
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362479271 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $745 | $0 | $745 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 3664 A09 | 11/30/2000 | 12/05/2000 | $300 | $560 | $0 | 01/25/2001 | W - Empr Withdrew | |
| 2. | 01002 | Other | 3668 A01 | 11/30/2000 | 12/05/2000 | $0 | $185 | $0 | 01/25/2001 | W - Empr Withdrew |
Investigation Summary
At approximately 1:50 p.m. on September 8, 2000, Employee #1, a machine and forklift operator employed by Premier Personnel, (his primary employer), was operating a forklift at a secondary employer's warehouse and manufacturing facility. The forklift struck a structural steel support pole, and he sustained a concussion. Employee #1 was transported by private automobile to Concentra Medical Center in Ontario. He was subsequently transferred to Arrowhead Regional Medical Center and hospitalized for three days.
Keywords: HEAD, SUPPORT POSTS, IND TRK OPERATOR, WAREHOUSE, STRUCK AGAINST, INDUSTRIAL TRUCK, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119947901 | Hospitalized injury | Concussion | Freight, stock and material handlers, n.e.c. |