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Inspection Detail
Inspection: 1251604.015 - Interline Brands, Inc.
Inspection Information - Office: San Bernardino District Office
Site Address:
Interline Brands, Inc.
1110 E Mill Street
San Bernardino, CA 92408
Mailing Address:
2455 Paces Ferry Road Stop #D-16, Atlanta, GA 30339
Union Status: NonUnion
SIC:
NAICS: 444110/Home Centers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/13/2017
Emphasis:
Case Closed: 12/09/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1247220 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $33,300 | $0 | $0 | $1,700 | $0 | $35,000 |
| Current Penalty | $18,000 | $0 | $0 | $1,700 | $0 | $19,700 |
| 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 | 3380(F) | 12/13/2017 | $850 | $850 | $0 | 01/23/2018 | J - ALJ Decision | ||
| 2. | 01002 | Other | 3668(F) | 12/13/2017 | $850 | $850 | $0 | 01/23/2018 | J - ALJ Decision | ||
| 3. | 02001 | Serious | 3385(A) | 12/13/2017 | 12/28/2017 | $0 | $15,300 | $0 | 01/23/2018 | Y - State Decision | Citation has been deleted. |
| 4. | 03001 | Serious | 3650(T)(30) | 12/13/2017 | $18,000 | $18,000 | $0 | 01/23/2018 | J - ALJ Decision |
Investigation Summary
At 12:20 a.m. on July 28, 2017, Employee #1, a supervisor, was using a stand-up forklift, Number 34, Yale Model 0S030BEN24TE119 and Serial Number D826N03471G, to pick up a boxed door for transport at aisle 63 of the warehouse. The boxed door was not secured on the forklift prior to moving. Employee #1 drove the stand-up forklift into the upright of the storage rack, which caused the unsecured door on the pallet to strike his lower leg as he stood on the operators platform. The employee suffered a fractured lower leg (ankle area) and was transported to a local hospital, where he was hospitalized for two days.
Keywords: Elevated Work Platform, Fracture, Leg, Powered Industrial Vehicle, Storage Rack, Struck Against, Unstable Load
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1251604.015 | 30 | M | Hospitalized injury | Occupation Not Listed |