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Inspection Detail
Inspection: 1414039.015 - Kz Kitchen Cabinet & Stone, Inc.
Inspection Information - Office: Fremont District Office
Site Address:
Kz Kitchen Cabinet & Stone, Inc.
1562 Montague Expwy
San Jose, CA 95131
Mailing Address:
1562 Montague Expwy, San Jose, CA 95131
Union Status: NonUnion
SIC:
NAICS: 444190/Other Building Material Dealers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/04/2019
Emphasis:
Case Closed: 12/02/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1473754 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 2 | 2 | 4 | |||
| Initial Penalty | $24,750 | $0 | $0 | $5,750 | $0 | $30,500 |
| Current Penalty | $24,750 | $0 | $0 | $5,750 | $0 | $30,500 |
| 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 | 342(A) | 11/06/2019 | $5,000 | $5,000 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 3203(A) | 11/06/2019 | $750 | $750 | $0 | Z - Issued | |||
| 3. | 02001 | Serious | 3668(A) | 11/06/2019 | $6,750 | $6,750 | $0 | Z - Issued | |||
| 4. | 03001 | Serious | 3650(T)(4) | 11/06/2019 | $18,000 | $18,000 | $0 | Z - Issued |
Investigation Summary
At 10:00 a.m. on July 5, 2019, an employee was riding on the fork of a Nissan 40 forklift being operated by a coworker. The coworker was driving the forklift outside the building approaching an access road when he hit a curb and caused the employee to fall to the ground. The employee was struck by the forklift causing a fracture to his right ankle and requiring hospitalization.
Keywords: Ankle, Driver, Equipment Operator, Fall, Forklift, Forks, Fracture, Industrial Truck, Leg, Lost Balance, Lost Control, Material Handling, Powered Industrial Vehicle, Road, Struck By, Training
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1414039.015 | 55 | M | Hospitalized injury | Laborers, except construction |