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Inspection Detail
Case Status: CLOSED
Inspection: 1289523.015 - Performance Team
Inspection Information - Office: Monrovia District Office
Inspection Nr: 1289523.015
Report ID: 0950644
Date Opened: 01/23/2018
Site Address:
Performance Team
5065 Eucalyptus Ave
Chino, CA 91710
Mailing Address:
5065 Eucalyptus Ave, Chino, CA 91710
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: 06/22/2018
Emphasis:
Case Closed: 09/05/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1296018 | ||
| Inspection | 1289532 | Yes |
Case Status: CLOSED
| 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 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3650(T)(9) | 06/22/2018 | $375 | $375 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 106711.015
Event: 12/26/2017
Employee sustains fractured legs when struck by forklift
At 6:45 a.m. on December 26, 2017, Employee #1 was operating an order picker. A coworker was operating a forklift and the two collided. The employee sustained two broken legs and was hospitalized for treatment.
Keywords: Collision, Fracture, Leg, Powered Industrial Vehicle, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1289523.015 | 40 | M | Hospitalized injury | Occupation Not Listed |