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Inspection Detail
Inspection: 300864667 - Mathis Brothers Furniture
Inspection Information - Office: San Bernardino District Office
Site Address:
Mathis Brothers Furniture
81410 Highway 111
Indio, CA 92201
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5712
NAICS: 442110/Furniture Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/15/2004
Emphasis:
Case Closed: 07/13/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101153690 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $6,310 | $0 | $6,310 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 06/15/2004 | 06/29/2004 | $0 | $5,000 | $0 | 07/20/2004 | I - Informal Settlement | Citation has been deleted. |
| 2. | 01002 | Other | 3203 B01 | 06/15/2004 | 06/29/2004 | $0 | $375 | $0 | 07/20/2004 | I - Informal Settlement | |
| 3. | 01003 | Other | 3650 S07 | 06/15/2004 | 06/29/2004 | $0 | $185 | $0 | 07/20/2004 | I - Informal Settlement | |
| 4. | 01004 | Other | 3656 E | 06/15/2004 | 06/29/2004 | $300 | $750 | $0 | 07/20/2004 | I - Informal Settlement |
Investigation Summary
At approximately 2:24 p.m. on December 20, 2003, an employee was operating a stock picker, Crown, Model-E, Serial Number 1A264683, to put a box of furniture on a shelf in the Aisle Number 18. He was standing on the platform of the stock picker and the platform was elevated about 18 ft above the floor level. As he tried to push the box, his foot slipped and he fell on to a concrete floor. The accident caused multiple fractures on his right hand which required a surgery and hospitalization for 5 days.
Keywords: FRACTURE, HOISTING MECHANISM, SLIP, FALL, HAND
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300864667 | Hospitalized injury | Fracture | Freight, stock and material handlers, n.e.c. |