Inspection Detail

Inspection: 300841764 - California Supply

Inspection Information - Office: Foster City District Office

Inspection Nr: 300841764

Report ID: 0950613

Date Opened: 09/16/2004

Site Address:
California Supply
30 Stein Am Rhen Crt. (Coast Concepts)
Redwood City, CA 94063

Mailing Address:
2855 Volpey Way, Union City, CA 94587

Union Status: NonUnion

SIC:5199

NAICS: 423840/Industrial Supplies Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/25/2005

Emphasis:

Case Closed: 06/30/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	101126191

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$125	$0	$125
Current Penalty	$0	$0	$0	$125	$0	$125
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	3241 C	03/03/2005	03/31/2005	$125	$125	$0		-

Investigation Summary

Investigation Nr: 201125101

Event: 09/08/2004

Employee fractures leg while moving pallet

At about 9:30 a.m. on September 8, 2004, Employee #1 was working alone, delivering palettized loads of supplies to customers. As Employee #1 tried to extricate the first load of the day by means of a pallet jack and pulled the load onto the elevated tailgate of the truck, he found it hard to move. Thus, he pulled harder until it suddenly came free. The moving load pushed Employee #1 off the tailgate, and he fell to the ground. He fractured his leg and was hospitalized.

Keywords: FRACTURE, TAILGATE, PALLETIZED CARGO, TRUCK, JACK, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300841764			Hospitalized injury	Fracture	Occupation not reported

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