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Inspection Detail
Inspection: 1292267.015 - Coastal Pacific Food Distributors, Inc.
Inspection Information - Office: Monrovia District Office
Site Address:
Coastal Pacific Food Distributors, Inc.
1520 E. Mission Blvd.
Ontario, CA 91761
Mailing Address:
1520 E. Mission Blvd., Ontario, CA 91761
Union Status: NonUnion
SIC:
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/03/2018
Emphasis:
Case Closed: 10/01/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1302368 | ||
| Inspection | 1292228 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $400 | $0 | $400 |
| Current Penalty | $0 | $0 | $0 | $400 | $0 | $400 |
| 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)(7)(B) | 07/03/2018 | 08/08/2018 | $400 | $400 | $0 | Z - Issued |
Investigation Summary
At 4:50 p.m. on January 11, 2018, an employee was operating an electric pallet jack and stepped on to it. The employee slipped off of the jack and fell approximately 4 feet, injuring his lower back and knee. The employee was hospitalized.
Keywords: Back, Fall, Knee, Powered Industrial Vehicle, Slip
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1292267.015 | 36 | M | Hospitalized injury | Occupation Not Listed |