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Inspection Detail
Inspection: 123928103 - Lee Cardoso Dairy
Inspection Information - Office: Fresno District Office
Site Address:
Lee Cardoso Dairy
13301 9th Ave
Hanford, CA 93230
Mailing Address:
193 Willow St, Hanford, CA 93230
Union Status: NonUnion
SIC:0241
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/21/1994
Emphasis:
Case Closed: 12/01/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361274830 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 7 | 15 | 22 | |||
| Current Violations | 5 | 14 | 19 | |||
| Initial Penalty | $9,000 | $0 | $0 | $1,455 | $0 | $10,455 |
| Current Penalty | $4,650 | $0 | $0 | $940 | $0 | $5,590 |
| 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 | 461 C | 02/17/1995 | 03/22/1995 | $175 | $175 | $0 | 03/24/1995 | J - ALJ Decision | |
| 2. | 01002 | Other | 3203 A | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 3. | 01003 | Other | 5194 E03 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 4. | 01004 | Other | 5194 E01 A | 02/17/1995 | 03/22/1995 | $0 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 5. | 01005 | Other | 5194 G11 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 6. | 01006 | Other | 5194 H01 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 7. | 01007 | Other | 5194 F01 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 8. | 01008 | Other | 5144 H | 02/17/1995 | 03/22/1995 | $0 | $85 | $0 | 03/24/1995 | J - ALJ Decision | Citation has been deleted. |
| 9. | 01009 | Other | 5144 D03 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 10. | 01010 | Other | 5162 B | 02/17/1995 | 03/22/1995 | $0 | $175 | $0 | 03/24/1995 | J - ALJ Decision | |
| 11. | 01011 | Other | 4799 | 02/17/1995 | 03/22/1995 | $0 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 12. | 01012 | Other | 4848 A | 02/17/1995 | 03/22/1995 | $0 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 13. | 01013 | Other | 5164 A | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 14. | 01014 | Other | 1596 H01 | 02/17/1995 | 03/22/1995 | $85 | $85 | $0 | 03/24/1995 | J - ALJ Decision | |
| 15. | 01015 | Other | 5155 E01 | 02/17/1995 | 03/22/1995 | $0 | $85 | $0 | 03/24/1995 | J - ALJ Decision | Citation has been deleted. |
| 16. | 02001 | Serious | 5144 B | 02/17/1995 | 03/22/1995 | $0 | $750 | $0 | 03/24/1995 | J - ALJ Decision | Citation has been deleted. |
| 17. | 03001 | Other | 5144 C | 02/17/1995 | 03/22/1995 | $85 | $750 | $0 | 03/24/1995 | J - ALJ Decision | |
| 18. | 04001 | Serious | 5162 A | 02/17/1995 | 03/22/1995 | $75 | $750 | $0 | 03/24/1995 | J - ALJ Decision | |
| 19. | 05001 | Serious | 3382 A | 02/17/1995 | 03/22/1995 | $750 | $750 | $0 | 03/24/1995 | J - ALJ Decision | |
| 20. | 06001 | Serious | 3328 G | 02/17/1995 | 09/02/1995 | $750 | $1,500 | $0 | 03/24/1995 | J - ALJ Decision | |
| 21. | 07001 | Serious | 1593 B | 02/17/1995 | 08/21/1994 | $3,000 | $3,750 | $0 | 03/24/1995 | J - ALJ Decision | |
| 22. | 08001 | Serious | 4075 A | 02/17/1995 | 03/22/1995 | $75 | $750 | $0 | 03/24/1995 | J - ALJ Decision |
Investigation Summary
At 8:26 a.m. on August 21, 1994, the manager of the Lee Cardoso Dairy was operating a Dresser payloader (front end loader), model 510B, serial #3380141C002289. He proceeded to corral #4 to repair a leaking coupling on a 3/4 in. water line, approximately 30 in. high, that was part of a metal fence separating corrals #3 and #4. The coupling had been leaking for 7 to 10 days and had created a mud/manure wallow approximately 25 ft by 16 ft and approximately 18 in. to 24 in. deep along the axis of the fence at the low point of grade. The payloader was positioned at right angles to the fence with the bucket approximately 2 in. from the fence, with front wheels at the edge of the wallow. The operator placed the loader in first gear and the direction control in neutral, and allegedly set the parking brake. The bucket was elevated approximately 6 in. to 12 in., and the engine was idling. The operator left the cab and crawled over the front linkage to the bucket, then positioned himself in the bucket. He was subsequently joined by Employee #1, who had crawled along the fence using the fence structure to stay out of the wallow. As they initiated repairs, the loader suddenly moved forward into the fence. The operator, who could see what was happening, was able to duck under the steel tubing of the fence and jump into the wallow to save himself. Employee #1 was pinned between the fence tubing and the top of the bucket. According to the operator, after the initial impact, Employee #1 took two steps then collapsed in the wallow. The operator removed Employee #1 from the wallow, placed him in the bucket, and transported him to his residence on the employer's property. Employee #1 was subsequently transported to Hanford Community Hospital, where he was pronounced dead at approximately 9:10 a.m. His body was released to the King's County coroner's office for autopsy. The cause of death was crushing blunt force trauma to the chest and heart. The parking brake and release button of the loader were inoperable when tested that afternoon by Mark Cardoso and CSE.
Keywords: CHEST, HEART, FRONT END LOADER, BRAKE, AGRICULTURE, LOADER BUCKET, PINNED, WORK RULES, EQUIPMENT FAILURE, CRUSHED
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 123928103 | Fatality | Other | Farm workers |