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Inspection Detail
Inspection: 1402734.015 - Harvard Label Llc
Inspection Information - Office: Monrovia District Office
Site Address:
Harvard Label Llc
111 N. Baldwin Park Blvd.
City Of Industry, CA 91746
Mailing Address:
111 N. Baldwin Park Blvd., City Of Industry, CA 91746
Union Status: NonUnion
SIC:
NAICS: 453220/ Gift, Novelty, and Souvenir Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/22/2019
Emphasis:
Case Closed: 03/01/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1457456 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $31,500 | $0 | $0 | $700 | $0 | $32,200 |
| Current Penalty | $18,000 | $0 | $0 | $700 | $0 | $18,700 |
| 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) | 10/18/2019 | $700 | $700 | $0 | 10/22/2019 | O - Administrative Law Judge Order | ||
| 2. | 02001 | Serious | 3650(T)(7) | 10/18/2019 | $18,000 | $18,000 | $0 | 10/22/2019 | O - Administrative Law Judge Order | ||
| 3. | 02002 | Serious | 3650(T)(24) | 10/18/2019 | $0 | $6,750 | $0 | 10/22/2019 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 4. | 02003 | Serious | 3661(A) | 10/18/2019 | $0 | $6,750 | $0 | 10/22/2019 | O - Administrative Law Judge Order | Citation has been deleted. |
Investigation Summary
At 3:52 p.m. on May 20, 2019, an employee was operating a stand-up forklift, moving materials between the dock and interior storage locations. The employee was driving the lift to the edge of the dock when he slowed down and then drove off the edge of the dock falling approximately 45 inches to the ground. The frame of the stand-up forklift landed on the employee's arm when they hit the ground. The employee was hospitalized to treat a left arm amputation above the elbow.
Keywords: Amputated, Amputation, Arm, Crushed, Dock, Driver, Driving, Fall, Fall From Elevation, Falling Object, Frame, Loading Dock, Material Handling, Stand-Up Forklift, Storage Area
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1402734.015 | 29 | M | Hospitalized injury | Industrial truck and tractor equipment operators |