Inspection Detail

Inspection: 126034107 - State Farm Insurance Companies

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 126034107

Report ID: 0950643

Date Opened: 03/06/2002

Site Address:
State Farm Insurance Companies
7 Fanucchi Way
Shafter, CA 93263

Mailing Address:
900 Old River Rd., Bakersfield, CA 93311

Union Status: NonUnion

SIC:6321

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/13/2002

Emphasis:

Case Closed: 11/13/2002

Related Activity
Type	Activity Nr	Safety	Health
Accident	362518904
Accident	362518920

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$375	$0	$375
Current Penalty	$0	$0	$0	$375	$0	$375
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3664 A07	08/16/2002	08/26/2002	$375	$375	$0		-

Investigation Summary

Investigation Nr: 201114303

Event: 02/21/2002

Employee Falls 25 Feet When Picker Cab Comes off Its Rails

At approximately 4:12 p.m. on February 21, 2002, Employee #1 was working at the State Farm Insurance Companies new records warehouse in Shafter, California. He got on a high-lift Crown Model Stock Picker to check it out after it had been worked on by an outside maintenance company. The maintenance company had removed the lower mast stops so the Picker could go higher. Employee #1 raised the picker cab to its highest level. The cab came off its rails and fell approximately 25 feet to the concrete floor. Employee #1 sustained multiple fractures on his arm and leg and was transported by ambulance to Kern Medical Center in Bakersfield, California, where he was admitted for treatment.

Keywords: FRACTURE, MAINTENANCE, UNSECURED, FALL, ARM, LIMIT SWITCH, AERIAL LIFT, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	126034107					Occupation not reported

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