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Inspection Detail
Inspection: 1344845.015 - Golden State Fc Llc
Inspection Information - Office: San Bernardino District Office
Site Address:
Golden State Fc Llc
5250 Goodman Way
Eastvale, CA 91752
Mailing Address:
5250 Goodman Way, Eastvale, CA 91752
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: 01/14/2019
Emphasis:
Case Closed: 02/05/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1374998 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $39,375 | $0 | $0 | $0 | $0 | $39,375 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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) | 01/14/2019 | 01/29/2019 | $0 | $16,875 | $0 | 03/18/2019 | O - Administrative Law Judge Order | |
| 2. | 02001 | Serious | 3650(T)(12) | 01/14/2019 | 01/29/2019 | $0 | $22,500 | $0 | 03/18/2019 | O - Administrative Law Judge Order | Citation has been deleted. |
Investigation Summary
At 8:08 p.m. on August 19, 2018, an employee was pulling an AGV Designated #4 (Automatic Guidance Vehicle) electric pallet jack. The employee was not looking in the direction of travel when he tripped over the pallet jack forks, causing his right leg to be pinned between them. He incurred leg fractures. Employee was hospitalized to treat the leg fractures.
Keywords: Fracture, Jack, Leg, Pallet, Pinned
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1344845.015 | 44 | M | Hospitalized injury | Industrial truck and tractor equipment operators |