Inspection Detail

Case Status: CLOSED

Inspection: 1547522.015 - Malone Workforce Solutions

Inspection Information - Office: Monrovia District Office

Inspection Nr: 1547522.015

Report ID: 0950644

Date Opened: 08/11/2021

Site Address:
Malone Workforce Solutions
2053 E. Jay St.
Ontario, CA 91764

Mailing Address:
1660 Chicago Ave., Unit M-5, Riverside, CA 92507

Union Status: NonUnion

SIC:

NAICS: 561311

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/23/2021

Emphasis:

Case Closed: 07/21/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1794169
Inspection	1547524	Yes

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	$510	$0	$510
Current Penalty	$0	$0	$0	$510	$0	$510
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	43000040 A	12/28/2021	02/15/2022	$205	$205	$0		Z - Issued
2.	01002	Other	3203(A)	12/28/2021	02/15/2022	$305	$305	$0		Z - Issued

Investigation Summary

Investigation Nr: 141154.015

Event: 07/27/2021

Employee sustains crushed foot while operating forklift

At 5:52 p.m. on July 27, 2021, Employee #1, assigned by Malone Staffing as a forklift driver at a logistics warehouse, was driving a Crown RC forklift (Serial Number 1A481273) toward loading docks #41 and #42. While attempting to back up, the forklift could not stop in time and crashed into a pole. The forklift jerked during braking, causing the employee's left foot to extend outside the vehicle and become crushed. Emergency services transported the employee to Riverside University, where surgery was performed. The employee was hospitalized.

Keywords: Brake, Crushed, Dock, Foot, Forklift

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1547522.015	26	M	Hospitalized injury		Industrial truck and tractor equipment operators

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