Inspection Detail
Inspection: 300783982 - Broadleaf Venison Usa
Inspection Information - Office: Long Beach District Office
Site Address:
Broadleaf Venison Usa
5600 S Alameda St Ste 100
Vernon, CA 90058
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:4222
NAICS: 493120/Refrigerated Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/17/2003
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/06/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362461139 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,675 | $0 | $5,675 |
| Current Penalty | $0 | $0 | $0 | $1,200 | $0 | $1,200 |
| 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 | 342 A | 04/15/2004 | 04/28/2004 | $750 | $5,000 | $0 | 05/19/2004 | F - Formal Settlement | |
| 2. | 01002 | Other | 461 A | 04/15/2004 | 04/21/2004 | $150 | $225 | $0 | 05/19/2004 | F - Formal Settlement | |
| 3. | 01003 | Other | 3650 S12 | 04/15/2004 | 04/21/2004 | $300 | $450 | $0 | 05/19/2004 | F - Formal Settlement |
Investigation Summary
At approximately 11:24 a.m. on November 7, 2003, Employee #1 a 22-year-old warehouse worker with 1.5 years of experience was operating a Raymond and-on Forklift. Employee #1 was filling out assigned to fill a buffalo strip loin order. Employee #1 approached the forklift operator, who had pulled several pallets of product from the freezer to fill orders, to inquire about the location of the buffalo strip loins. Employee #1 was recording the weight of the items for the order he was filling out when the forklift operator, who was positioning a pallet, backed-up, hit him with the back of the forklift, knocked him down, and ran over his left foot. Employee #1 sustained a bimalleolar fracture with tibia subluxation. After the accident, the Vernon Fire Department paramedics transported Employee #1 to White Memorial Hospital, where he was treated. The casual factor leading to the accident was the forklift-operator not looking in the direction of travel, and not making certain that all persons were in the clear before moving the forklift. The victim was a full time employee of Broadleaf Venison USA.
Keywords: PACKING HOUSE, EQUIPMENT OPERATOR, INDUSTRIAL TRUCK, ANKLE, BACKING UP, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300783982 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |
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