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Inspection Detail
Inspection: 1361332.015 - Future Foam, Inc.
Inspection Information - Office: Santa Ana District Office
Site Address:
Future Foam, Inc.
2451 Cypress Way
Fullerton, CA 92831
Mailing Address:
2451 Cypress Way, Fullerton, CA 92831
Union Status: NonUnion
SIC:
NAICS: 326150/Urethane and Other Foam Product (except Polystyrene) Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/27/2019
Emphasis:
Case Closed: 08/16/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1401608 | ||
| Inspection | 1373659 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $30,935 | $0 | $0 | $375 | $0 | $31,310 |
| Current Penalty | $23,400 | $0 | $0 | $375 | $0 | $23,775 |
| 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 | 3664(A) | 02/27/2019 | $375 | $375 | $0 | Z - Issued | |||
| 2. | 02001 | Serious | 3385(A) | 02/27/2019 | $5,400 | $8,435 | $0 | 03/12/2019 | O - Administrative Law Judge Order | ||
| 3. | 03001 | Serious | 3650(T)(12) | 02/27/2019 | $18,000 | $22,500 | $0 | 03/12/2019 | O - Administrative Law Judge Order |
Investigation Summary
At 11:30 a.m. on November 16, 2018, an employee was walking down a ramp towards the loading dock when a coworker that was backing up a forklift on the ramp struck him, crushing the employee's left foot and forcing him from the ramp. The employee was taken to the hospital, where he was admitted for treatment and was there for approximately one month.
Keywords: Backing Up, Crushed, Foot, Forklift, Powered Industrial Vehicle, Run Over, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1361332.015 | 70 | M | Hospitalized injury | Truck drivers, heavy |