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Inspection Detail
Inspection: 1248369.015 - Golden State Fc Llc
Inspection Information - Office: San Bernardino District Office
Site Address:
Golden State Fc Llc
2020 E Central Avenue
San Bernardino, CA 92408
Mailing Address:
2020 E Central Avenue, San Bernardino, CA 92408
Union Status: NonUnion
SIC:
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/04/2018
Emphasis:
Case Closed: 02/19/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1239306 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $40,500 | $0 | $0 | $1,685 | $0 | $42,185 |
| Current Penalty | $0 | $0 | $0 | $26,627 | $0 | $26,627 |
| 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 | 3650(T)(5) | 01/04/2018 | 01/24/2018 | $935 | $935 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 3660(A) | 01/04/2018 | 01/24/2018 | $750 | $750 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 3650(T)(12) | 01/04/2018 | 01/19/2018 | $12,471 | $18,000 | $0 | I - Informal Settlement | ||
| 4. | 03001 | Other | 3203(A) | 01/04/2018 | 01/19/2018 | $12,471 | $22,500 | $0 | I - Informal Settlement |
Investigation Summary
At 9:30 p.m. on July 8, 2017, an employee was driving a RC CROWN, model #5525-30 stand-up industrial truck in reverse while unloading a pallet of double-stacked pallets at Inbound Staging Area #2. The employee caught and crushed his left foot between an unprotected rectangular column/pole and the body of the truck. The employee was taken by Paramedics to Loma Linda University Medical Center for treatment and surgery was performed. The employee was hospitalized more than 24 hours.
Keywords: Caught Between, Column, Crushed, Leg, Powered Industrial Vehicle
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1248369.015 | 25 | M | Hospitalized injury | Industrial truck and tractor equipment operators |