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Inspection Detail
Inspection: 300860897 - Master Design Inc
Inspection Information - Office: San Bernardino District Office
Site Address:
Master Design Inc
1900 S Burgundy Place
Ontario, CA 91761
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2511
NAICS: 337122/Nonupholstered Wood Household Furniture Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/16/2003
Emphasis:
Case Closed: 04/30/2003
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362456436 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| Current Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| 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 | 3650 S02 | 04/21/2003 | 04/24/2003 | $560 | $560 | $0 | - |
Investigation Summary
At approximately 11:45 a.m. on November 22, 2002, Employee #1 was working as a warehouse man and was unloading and unpacking boxes of furniture adjacent to truck door Number 31 between racks 25 and 26 at the warehouse. Employee #1 observed the forklift moving in his direction and stated that he had eye contact with the forklift operator. However, Employee #1's foot was struck and ran over by a wheel of the stand-up Raymond electric forklift, Model: EASI DR30TT, Number 3000. Employee #1 sustained the amputation of the little toe of his right foot and was hospitalized.
Keywords: AMPUTATED, INDUSTRIAL TRUCK, STRUCK BY, TOE, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300860897 | Hospitalized injury | Amputation | Laborers, except construction |