Inspection Detail

Inspection: 120142914 - Northern Distributor

Inspection Information - Office: Modesto District Office

Inspection Nr: 120142914

Report ID: 0950624

Date Opened: 08/06/2003

Site Address:
Northern Distributor
4199 Gibraltar Ct
Stockton, CA 95219

Mailing Address:
, , 00000

Union Status: Union

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 11/25/2003

Emphasis:

Case Closed: 11/25/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	361735384

Investigation Summary

Investigation Nr: 201104064

Event: 07/05/2003

Employee injured in fall from pallet jack

On July 5, 2003, Employee #1 fell off of a pallet jack while operating it. Employee #1 was dizzy from lack of sleep, and was hospitalized with a fracture from the fall.

Keywords: FRACTURE, IND TRK OPERATOR, FALL, PALLET, JACK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120142914			Hospitalized injury	Fracture	Laborers, except construction

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