Inspection Detail

Inspection: 125481515 - Animal Supply Co Inc

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125481515

Report ID: 0950615

Date Opened: 06/03/2009

Site Address:
Animal Supply Co Inc
21 W 7th St
Santa Rosa, CA 95401

Mailing Address:
1111 Runway Dr, Stockton, CA 95206

Union Status: NonUnion

SIC:5191

NAICS: 424910/Farm Supplies Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/01/2009

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 09/01/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	101028850

Investigation Summary

Investigation Nr: 201022316

Event: 06/03/2009

Employee Is Injured When Box Falls from Truck

At approximately 11:45 a.m. on June 3, 2009, Employee #1 was unloading animal feed from the tailgate of a truck at Animal Supply Co., Inc. He was using a motorized hand truck. When the load became unbalanced, he fell from the tailgate. Part of the load landed on him, injuring his middle back. He was hospitalized for treatment of his injury.

Keywords: TAILGATE, STRUCK BY, FALLING OBJECT, UNSTABLE LOAD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125481515			Hospitalized injury	Bruise/Contus/Abras	Truck drivers, light

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