Inspection Detail

Inspection: 120142591 - Plumas Ace Hardware

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120142591

Report ID: 0950621

Date Opened: 09/06/2002

Site Address:
Plumas Ace Hardware
184 W. Sierra
Portola, CA 96122

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5251

NAICS: 444130/Hardware Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/10/2002

Emphasis:

Case Closed: 01/31/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	361729361

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$435	$0	$435
Current Penalty	$0	$0	$0	$435	$0	$435
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	342 A	01/14/2003	01/17/2003	$175	$175	$0		-
2.	01002	Other	3664 A	01/14/2003	01/17/2003	$260	$260	$0		-

Investigation Summary

Investigation Nr: 201172178

Event: 08/05/2002

Employee Injuries Arm Lacerated in Fall from Forklift

On August 5, 2002, Employee #1, a driver for Plumas Ace Hardware, and a trained forklift operator, was delivering a load of sheetrock at a new residential construction site Employee #1, towed behind his truck was a 5,500lb hyster 60 high-lift forklift to use in off-loading the sheetrock. Employee #1 unhitched the lift from the truck, stepped on its running board, and grabbed the ropes, with his left hand to pull himself up to the cab of the forklift, as he did this, his foot slipped off the running board, his left hand slid down the roll bar, and his left arm slid across a metal triangular safety sign attached to the roll bar. Employee, was transported to a local hospital were, employee# 1 sustained a 6 in. long laceration on his biceps that cut into an artery.

Keywords: DELIVERY WORK, STRUCK AGAINST, INDUSTRIAL TRUCK, LACERATION, FALL, ARM, ARTERY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120142591			Hospitalized injury	Cut/Laceration	Truck drivers, light

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