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Inspection Detail
Inspection: 1461147.015 - James Otis
Inspection Information - Office: Fremont District Office
Site Address:
James Otis
10655 Mary Ave
Cupertino, CA 95014
Mailing Address:
10789 Juniper Ct., Cupertino, CA 95014
Union Status: NonUnion
SIC:
NAICS: 333244
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/13/2020
Emphasis:
Case Closed: 04/12/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1541303 | ||
| Inspection | 1470934 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $21,600 | $0 | $0 | $5,750 | $0 | $27,350 |
| Current Penalty | $0 | $0 | $0 | $1,500 | $0 | $1,500 |
| 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) | 07/15/2020 | $0 | $5,000 | $0 | 07/27/2020 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 2. | 01002 | Other | 3395(I) | 07/15/2020 | $500 | $750 | $0 | 07/27/2020 | O - Administrative Law Judge Order | ||
| 3. | 02001 | Other | 3203(A) | 07/15/2020 | $500 | $10,800 | $0 | 07/27/2020 | O - Administrative Law Judge Order | ||
| 4. | 03001 | Other | 3650(L) | 07/15/2020 | $500 | $10,800 | $0 | 07/27/2020 | O - Administrative Law Judge Order |
Investigation Summary
At 5:45 a.m. on February 5, 2020, an employee was relocating a printing machine and had it on a pallet jack. The employee was pinned against a vehicle when the equipment fell from the jack and was struck by it. The employee was transported to the hospital and had sustained multiple blunt force trauma injuries to his body as well as a complex pelvic injury. The employee died while being treated at the hospital.
Keywords: Blunt force trauma, Jack, Pallet, Pelvis, Pinned, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1461147.015 | 51 | M | Fatality | Laborers, except construction |