Inspection Detail

Case Status: CLOSED

Inspection: 1508920.015 - Pacific Forge Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 1508920.015

Report ID: 0950633

Date Opened: 01/07/2021

Site Address:
Pacific Forge Inc
10641 South Etiwanda Avenue
Fontana, CA 92337

Mailing Address:
10641 South Etiwanda Avenue, Fontana, CA 92337

Union Status: Union

SIC:

NAICS: 332111/Iron and Steel Forging

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/25/2021

Emphasis:

Case Closed: 05/25/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1692987

Case Status: CLOSED

Investigation Summary

Investigation Nr: 135800.015

Event: 11/17/2020

Employee injures hip and fractures leg when trips over fireh

At 5:18 a.m. on November 17, 2020, an employee was cleaning out a large metal bin with a firehose. He stepped over the firehose, which was laying on the ground next to the bin. When he turned the water off, he tripped over the hose, injuring his hip and breaking his lower leg. The employee was hospitalized.

Keywords: Aircraft, Bin, Broken Bone, Cleaning, Fall, Fall On Same Level, Fracture, Hip, Hose, Leg, Tripped

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1508920.015	52	M	Hospitalized injury		Occupation Not Listed

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