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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: OPEN

Note: The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted. For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.

Inspection: 1618626.015 - Hm Group Usa/Hm Surerock Inc

Inspection Information - Office: Ca Monrovia District Office


Inspection Nr: 1618626.015
Report ID: 0950644
Date Opened: 08/30/2022

Site Address:
Hm Group Usa/Hm Surerock Inc
1941 Yeager Ave
La Verne, CA 91750

Mailing Address:
1941 Yeager Ave, La Verne, CA 91750

Union Status: NonUnion


NAICS: 326199/All Other Plastics Product Manufacturing

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/27/2023


Case Closed:

Related Activity
Type Activity Nr Safety Health
Accident 1940581
Case Status: OPEN
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 3 5
Current Violations 2 3 5
Initial Penalty $20,250 $0 $0 $1,085 $0 $21,335
Current Penalty $20,250 $0 $0 $1,085 $0 $21,335
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 3203(A) 02/27/2023 04/03/2023 $325 $325 $0 Z - Issued  
2. 01002 Other 3650(T)(12) 02/27/2023 $435 $435 $0 Z - Issued  
3. 01003 Other 3664(A) 02/27/2023 04/03/2023 $325 $325 $0 Z - Issued  
4. 02001 Serious 3650(T)(24) 02/27/2023 $6,750 $6,750 $0 Z - Issued  
5. 03001 Serious 3650(T)(33) 02/27/2023 $13,500 $13,500 $0 Z - Issued  

Investigation Summary

Investigation Nr: 149334.015
Event: 08/29/2022
Employee Is Killed When Crushed By Falling Forklift

At 4:04 p.m. on August 29, 2022, an employee was moving pallets of doors from a shipment. The employee was operating a forklift in reverse to pick-up the palle t. As the forklift moved into the path of travel, he was not looking and did no t see the edge of the loading dock. The employee drove the forklift off of the l oading dock, causing him to be ejected and crushed under the rollover protective structure of the forklift. The employee was killed.

Keywords:backing up, caught between, crushed, crushing, ejected, forklift, ind trk operator, material handling, rops

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 1618626.015 Fatality Industrial truck and tractor equipment operators
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