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Inspection Detail
Inspection: 1276049.015 - Golden State Fc Llc
Inspection Information - Office: San Bernardino District Office
Site Address:
Golden State Fc Llc
24300 Nandina Avenue
Moreno Valley, CA 92551
Mailing Address:
24300 Nandina Avenue, Moreno Valley, CA 92551
Union Status: NonUnion
SIC:
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/20/2018
Emphasis:
Case Closed: 03/30/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1281065 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $0 | $0 | $0 | $7,000 | $0 | $7,000 |
| 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(A) | 02/20/2018 | $7,000 | $18,000 | $0 | 03/13/2018 | O - Administrative Law Judge Order |
Investigation Summary
At 7:21 a.m. on October 25, 2017, an employee was working as a warehouse associate. He was working at a warehouse where orders were fulfilled for a large online retail firm. The facility where he worked was a warehouse in which non-perishable merchandise was unloaded, processed, loaded, and shipped to customers. He was operating a Crown Model Number 5525-30, with warehouse Serial Number 1227, battery-powered, stand-up type forklift. He was loading double-stacked pallets at the warehouse's loading dock door Number 99 in the Outbound Department. He was loading a trailer. A coworker was working nearby checkeing trailers before they were loaded by forklift operators such as the employee. A second coworker was working as a drive-by operator. He witnessed the incident. An area manager was the direct supervisor of all three workers. The employee was preparing to get off the forklift. As he backed up the stand-up industrial truck, he was holding a loosely hanging strap in his left hand. The strap got pulled under the forklift's moving wheels. The employee sustained the amputation of the fingertip of the middle finger on his left hand. The employee was taken by paramedics to Kaiser Hospital in Moreno Valley, CA, for treatment. Surgery was performed there. The employee was hospitalized for no more than four to five hours.
Keywords: Amputated, Amputation, Backing Up, Caught By, Emergency Response, Entangled, Finger, Hand, Housekeeping, Ind Trk Operator, Industrial Truck, Loading Dock, Tire, Warehouse, Wheel
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1276049.015 | 36 | M | Hospitalized injury | Operating engineers |