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Inspection Detail

Inspection: 126200518 - Williams Sonoma Inc

Inspection Information - Office: Monrovia District Office

 

Inspection Nr: 126200518
Report ID: 0950644
Date Opened: 01/10/2014

Site Address:
Williams Sonoma Inc
21508 Baker Pkwy
City Of Industry, CA 91789

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5719

NAICS: 442299/All Other Home Furnishings Stores


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/04/2014

Emphasis:

Case Closed: 05/03/2014


Related Activity
Type Activity Nr Safety Health
Accident 102720356
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
Initial Penalty $0 $0 $0 $655 $0 $655
Current Penalty $0 $0 $0 $655 $0 $655
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citation Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Other 461 A 04/04/2014 04/09/2014 $375 $375 $0 -  
2. 01002 Other 3203 A 04/04/2014 04/30/2014 $280 $280 $0 -  

Investigation Summary

Investigation Nr: 202479606
Event: 12/05/2013
Worker Amputates Toes in Forklift Collision

On December 5, 2013, an employee was working for Cornerstone Staffing Solutions, Inc. He was assigned to work as a merchandise processor at Williams Sonoma, Inc. Williams Sonoma, Inc. sold household items. The site, in City of Industry, CA, was a distribution center for the company. After a pre-shift meeting, the employee was driving a forklift to a battery changing area in the northeast corner of a warehouse to replace the battery on the forklift. The employee was operating a model number EASI R45TT-MB Raymond reach truck with serial number EZ-C-04-29896 and site unit number 4160. He had performed a pre-shift inspection on the forklift at 4:30 a.m., and it was in working condition. He turned the forklift so that he could get personal protective equipment mounted on the wall of the battery changing area. As he was getting close to the wall, he tried to stop the forklift, but it did not respond to his inputs. The forklift collided with the emergency eyewash and shower unit on the wall. The employee's left foot was caught between the wall and the forklift. The emergency eyewash and shower unit broke, and water splashed over the forklift. The employee was taken to UCI Medical Center by paramedics. He was hospitalized for three days for a crushing injury to his left foot with fracture dislocation. The fourth and fifth toes on his left foot were amputated on a later date. The incident was caused because the employee had not stopped the forklift in time. The employer reported the incident to the DOSH West Covina district office that same day.

Keywords: AMPUTATED, IND TRK OPERATOR, WAREHOUSE, BATTERY CHARGER, STRUCK AGAINST, CRUSHED, INDUSTRIAL TRUCK, TOE, LOST CONTROL, FOOT

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 126200518 Hospitalized injury Amputation Industrial truck and tractor equipment operators
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