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Inspection Detail
Inspection: 1398198.015 - Golden State Fc, Llc.
Inspection Information - Office: San Bernardino District Office
Site Address:
Golden State Fc, Llc.
4950 Goodman Rd.
Eastvale, CA 91752
Mailing Address:
4950 Goodman Rd, 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: 08/23/2019
Emphasis:
Case Closed: 10/12/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1445552 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $0 | $0 | $0 | $1,125 | $0 | $1,125 |
| 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) | 08/23/2019 | $1,125 | $18,000 | $0 | 09/26/2019 | O - Administrative Law Judge Order |
Investigation Summary
At approximately 4:35 p.m. on March 19, 2019, an employee was shaking a cardboard box (Gaylord) while standing on the floor. When the Gaylord upper edge tore, the employee hurled back and landed on her head on the concrete floor. The employee sustained a serious injury (internal bleeding in the head) and was taken to the hospital for these injuries. The employee was hospitalized.
Keywords: Concrete, Fall, Head, Stand-Up Operator, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1398198.015 | 55 | F | Hospitalized injury | Occupation Not Listed |