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Inspection Detail
Inspection: 1311812.015 - Adidas America Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Adidas America Inc.
26672 Agoura Rd.
Calabasas, CA 91302
Mailing Address:
5055 Greeley Ave., Portland, OR 97217
Union Status: NonUnion
SIC:
NAICS: 448210/Shoe Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/21/2018
Emphasis:
Case Closed: 07/21/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1325393 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $45,000 | $0 | $0 | $0 | $0 | $45,000 |
| Current Penalty | $26,550 | $0 | $0 | $0 | $0 | $26,550 |
| 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 | Serious | 3203(A) | 09/21/2018 | 10/03/2018 | $4,050 | $22,500 | $0 | 11/09/2018 | O - Administrative Law Judge Order | |
| 2. | 02001 | Serious | 3328(A)(2) | 09/21/2018 | 10/03/2018 | $22,500 | $22,500 | $0 | 11/09/2018 | O - Administrative Law Judge Order |
Investigation Summary
At 1:10 p.m. on March 23, 2018, an employee was maneuvering a loaded JET Pallet Truck to move a press machine to a different location. The employee caught his left hand and foot when the pallet truck tipped over and he was struck by its load. The employee amputated his left foot and degloved his left hand.
Keywords: Amputated, Amputation, Caught By, Crushed, Foot, Hand, Palletized Cargo, Press, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1311812.015 | 27 | M | Hospitalized injury | Shoe machine operators |