Inspection Detail
Inspection: 126031004 - Anheuser-Busch, Llc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Anheuser-Busch, Llc.
15800 Roscoe Blvd.
Van Nuys, CA 91406
Mailing Address:
, , 00000
Union Status: Union
SIC:2082
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/30/2000
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 10/24/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362505703 | ||
| Accident | 362505711 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $470 | $0 | $470 |
| Current Penalty | $0 | $0 | $0 | $185 | $0 | $185 |
| 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 | 3272 F | 05/22/2001 | 02/22/2001 | $0 | $285 | $0 | 08/03/2001 | J - ALJ Decision | Citation has been deleted. |
| 2. | 01002 | Other | 3668 A02 | 05/22/2001 | 06/25/2001 | $185 | $185 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1 was operation a small industrial forklift inside a warehouse. Employee #1 had just placed a pallet of goods in its respective location when he backed up and started to move forward. According to witnesses, Employee #1 was operating the forklift with the mast slightly elevated. Employee #1 tried to make a right turn when the mast hit an overhead I-beam, causing the forklift mast to skid and the momentum of the forklift caused it to tip over and pin Employee #1 under the forklift. The forklift was manufactured by Hyser, with Serial Number C114405488N, and the forklift did not have a roll-over protection system. Employee #1 suffered a fracture of the orbit of his eye and a concussion, and was hospitalized.
Keywords: EYE, FRACTURE, IND TRK OPERATOR, ROLL-OVER, INDUSTRIAL TRUCK, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126031004 | Hospitalized injury | Concussion | Industrial truck and tractor equipment operators |
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