Inspection Detail
Inspection: 1554351.015 - Signature Select Personnel Llc
Inspection Information - Office: Long Beach District Office
Site Address:
Signature Select Personnel Llc
910 E 236th Street
Carson, CA 90745
Mailing Address:
20411 S Susana Rd Suite D, Carson, CA 90810
Union Status: NonUnion
SIC:
NAICS: 561320/Temporary Help Services
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/24/2022
Emphasis:
Case Closed: 08/29/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1809998 | ||
| Inspection | 1554571 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $25,000 | $0 | $0 | $0 | $0 | $25,000 |
| Current Penalty | $25,000 | $0 | $0 | $0 | $0 | $25,000 |
| 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 | Serious | 3385(A) | 02/24/2022 | 03/10/2022 | $25,000 | $25,000 | $0 | Z - Issued |
Investigation Summary
At 11:00 a.m. on September 1, 2021, an employee was working as a laborer for a staffing agency that recruits and provides manual labor to a shipping, warehousing, logistics and freight forwarder. The employee was working in a warehouse staging area near Dock #18 and Dock #19. The employee was assigned to shrink wrap a pallet loaded with boxes stacked approximately 6 feet and 3 inches high. The employee walked around this pallet in a circular motion shrink wrapping the pallet. As the employee made his fourth turn around the pallet, a coworker operating a Crown Stand Up Reach Truck Forklift struck the employee on his left foot. The employee was hospitalized to treat a crushed foot including degloving of his toes requiring surgery.
Keywords: Crushed, Degloving, Dock, Dock Worker, Foot, Forklift, Industrial Truck, Laborer, Laceration, Loading Dock, Pallet, Pallet Wrapping Machine, Palletized Cargo, Powered Industrial Vehicle, Staffing Agency, Stand-Up Forklift, Stand-Up Operator, Struck By, Temporary, Temporary Employment Agency, Temporary Worker, Toe, Walking Surface, Warehouse, Warehouse Aisle, Work Surface, Wrapping
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1554351.015 | 19 | M | Hospitalized injury | Laborers, except construction |
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