Inspection Detail

Inspection: 300832110 - Ejm Maldonado Services

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 300832110

Report ID: 0950643

Date Opened: 11/18/2005

Site Address:
Ejm Maldonado Services
10455 King Road
Lost Hills, CA 93249

Mailing Address:
365 Redwood Drive, Shafter, CA 93263

Union Status: NonUnion

SIC:0761

NAICS: 115115/Farm Labor Contractors and Crew Leaders

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/30/2006

Planning Guide: Safety-Manufacturing

Emphasis: S:Agriculture (Aship)

Case Closed: 02/05/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	362526709

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$5,135	$0	$5,135
Current Penalty	$0	$0	$0	$5,135	$0	$5,135
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	342 A	04/11/2006	05/14/2006	$5,000	$5,000	$0		-
2.	01002	Other	3203 A	04/11/2006	05/14/2006	$135	$135	$0		-

Investigation Summary

Investigation Nr: 201119963

Event: 10/13/2005

Employee Fractures Leg and Foot When Leaving Forklift

At approximately 7:00 a.m., on March 13, 2005, Employee #1 was riding on a forklift that was pulling a trailer loaded with brush at the DeBenedetto Fruit Company. The operator stopped the forklift where the brush was going to be unloaded. Employee #1 was injured, when he was getting off the foot stand of the forklift and the operator suddenly moved the forklift. Employee #1's left foot got caught on the rear left wheel. Employee #1 was hospitalized at Kern Medical Hospital with multiple fractures to his left foot and leg.

Keywords: FOOTINGS, FRACTURE, FARM MACHINERY, INDUSTRIAL TRUCK, TRACTOR, TRAILER, FOOT, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300832110			Hospitalized injury	Fracture	Laborers, except construction

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