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Inspection Detail
Inspection: 1525743.015 - Golden State Fc, Llc
Inspection Information - Office: Modesto District Office
Site Address:
Golden State Fc, Llc
6250 Promontory Park Way
Tracy, CA 95377
Mailing Address:
6250 Promontory Park Way, Tracy, CA 95377
Union Status: NonUnion
SIC:
NAICS: 454110
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/30/2021
Emphasis:
Case Closed: 05/01/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1753249 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $0 | $0 | $0 | $800 | $0 | $800 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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)(4)(A) | 09/30/2021 | $0 | $800 | $0 | 12/09/2021 | O - Administrative Law Judge Order | Citation has been deleted. |
Investigation Summary
At 11:30 p.m. on March 30, 2021, an employee was moving a wheeled collapsible caged carts. When one of the carts tipped and began to fall, the employee stepped out of the way to let it fall and his right foot became caught on the cart. He lost his balance and fell on his hip, sustaining a hip fracture and requiring surgery. The employee was hospitalized.
Keywords: Cage, Cart, Caught By, Fall, Fall On Same Level, Fracture, Hip, Lost Balance, Material Handling, Warehouse
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1525743.015 | 66 | M | Hospitalized injury | Occupation Not Listed |