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Inspection Detail
Inspection: 120243910 - Jkk Forklift
Inspection Information - Office: Santa Ana District Office
Site Address:
Jkk Forklift
10 Autry
Irvine, CA 92718
Mailing Address:
2175 S Grand Ave, Santa Ana, CA 92705
Union Status: NonUnion
SIC:7699
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/08/1999
Emphasis:
Case Closed: 03/21/2000
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362392185 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $130 | $0 | $130 |
| Current Penalty | $0 | $0 | $0 | $130 | $0 | $130 |
| 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 | 3203 A | 10/14/1999 | 11/16/1999 | $130 | $130 | $0 | 12/20/1999 | W - Empr Withdrew |
Investigation Summary
Employee #1 was an equipment mechanic and was in the process of repairing a forklift. Employee #1 raised the rear of the forklift but failed to use blocks, or place the removed tire in a position to provide protection if the vehicle fell. As Employee #1 was removing a broken part from under the forklift, it fell and shattered his right elbow. Employee #1 was hospitalized for his injuries.
Keywords: FRACTURE, REPAIR, BLOCKS, CRUSHED, INDUSTRIAL TRUCK, ELBOW
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120243910 | Hospitalized injury | Fracture | Not specified mechanics and repairers |