Inspection Detail
Inspection: 1445653.015 - Ds Services Of America Inc.
Inspection Information - Office: Los Angeles District Office
Site Address:
Ds Services Of America Inc.
1449 N Ave 46
Los Angeles, CA 90041
Mailing Address:
4500 York Blvd., Los Angeles, CA 90041
Union Status: NonUnion
SIC:
NAICS: 312112/Bottled Water Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/14/2020
Emphasis:
Case Closed: 08/11/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1484873 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,800 | $0 | $1,800 |
| Current Penalty | $0 | $0 | $0 | $1,800 | $0 | $1,800 |
| 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 | 3395(I) | 01/15/2020 | 02/20/2020 | $800 | $800 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 3650(T)(17) | 01/15/2020 | $1,000 | $1,000 | $0 | Z - Issued |
Investigation Summary
At 9:30 p.m. on July 24, 2019, an employee was wrapping pallets. The employee had dismounted the Nissan MCPL02A25LV forklift. The employee did not set the brake in place to prevent movement. The forklift started rolling and pinned the employee against a truck. The employee fractured his pelvic bone and was hospitalized for treatment.
Keywords: Brake, Forklift, Fracture, Pallet, Pelvis, Pinned, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1445653.015 | 49 | M | Hospitalized injury | Industrial truck and tractor equipment operators |
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