Inspection Detail

Case Status: CLOSED

Inspection: 1529239.015 - Burlington Distribution Corp.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 1529239.015

Report ID: 0950633

Date Opened: 05/05/2021

Site Address:
Burlington Distribution Corp.
570 E. Mill St
San Bernardino, CA 92401

Mailing Address:
570 E. Mill St, San Bernardino, CA 92401

Union Status: NonUnion

SIC:

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/26/2021

Emphasis:

Case Closed: 08/31/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1763254

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$1,910	$0	$1,910
Current Penalty	$0	$0	$0	$1,910	$0	$1,910
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3650(T)(12)	08/26/2021		$1,060	$1,060	$0		Z - Issued
2.	01002	Other	4353(G)	08/26/2021		$850	$850	$0		Z - Issued

Investigation Summary

Investigation Nr: 135386.015

Event: 03/31/2021

Employee sustains multiple injuries when struck by pallet ja

At 11:30 a.m. on March 31, 2021, an employee was on a loading dock of a distribution center counting stock items while walking amongst pallets. A coworker was moving a load with a pallet jack and was unaware of the employee's presence. The employee was struck from behind by the load being moved with the pallet jack and sustained a concussion, neck injury, and contusions to her body. She was hospitalized.

Keywords: Concussion, Contusion, Head, Ind Trk Operator, Material Handling, Neck, Pallet, Pallet Jack, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1529239.015	52	F	Hospitalized injury		Occupation Not Listed

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