Inspection Detail
Inspection: 126086065 - Intertile Distributors
Inspection Information - Office: Monrovia District Office
Site Address:
Intertile Distributors
126 Pioneer Place
Pomona, CA 91768
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5032
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/07/2002
Emphasis:
Case Closed: 06/28/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362559312 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,250 | $0 | $5,250 |
| Current Penalty | $0 | $0 | $0 | $1,200 | $0 | $1,200 |
| 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 | 3203 B01 | 02/07/2002 | 03/06/2002 | $0 | $750 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 3203 A02 | 02/07/2002 | 03/06/2002 | $450 | $750 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Other | 3668 D01 | 02/07/2002 | 03/06/2002 | $0 | $750 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 4. | 01004 | Other | 3664 A12 | 02/07/2002 | 03/06/2002 | $750 | $3,000 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 3:45 p.m. on August 20, 2001, Employee #1 was lifting a bundle of flat tiles (dimension of 4 in wide by 4 ft height by 8 ft long) to the level of truck bed with the assistance of a forklift. Employee #1, another coworker and an operator of the forklift were loading the materials on the flat bed of a 35 ft long truck in the yard adjacent to dock area. As Employee #1 moved forward, he was looking at the coworker in the truck bed and was struck by the forklift. The left wheel of the forklift ran over his left foot, causing crushing injuries to his foot and dislocating his left ankle. He was transported to the hospital and was hospitalized to receive medical treatment for the injuries sustained in the accident.
Keywords: LOADING, FRACTURE, CRUSHED, INDUSTRIAL TRUCK, DISLOCATED, FLATBED TRUCK, RUN OVER, ANKLE, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126086065 | Hospitalized injury | Dislocation | Industrial truck and tractor equipment operators |
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