Inspection Detail

Inspection: 301332375 - Rainbird Sprinkler Corp

Inspection Information - Office: Monrovia District Office

Inspection Nr: 301332375

Report ID: 0950644

Date Opened: 05/25/2004

Site Address:
Rainbird Sprinkler Corp
970 W Sierra Madre Ave
Azusa, CA 91702

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/23/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 09/18/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362497547
Accident	362497687

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$18,000	$0	$0	$5,000	$0	$23,000
Current Penalty	$18,000	$0	$0	$5,000	$0	$23,000
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	09/23/2004	10/25/2004	$5,000	$5,000	$0		-
2.	02001	Serious	3650 S	09/23/2004	10/07/2004	$18,000	$18,000	$0		-

Investigation Summary

Investigation Nr: 201798535

Event: 05/14/2004

Backing Fork Lift Crushes Employee's Foot

At approximately 6:00 p.m. on May 14, 2004, a coworker placed a pallet in the on the shrink wrap machine. Employee #1 placed the shrink wrap around the boxes. Once the shrink wrapping was complete the coworker raised the pallet approximately 7 in. above the floor. Employee #1 was standing in front of the fork lift. It was then that the coworker noticed a black mark on the face of Employee #1. The coworker told Employee #1 about the black mark and Employee #1 rubbed the area and asked if the mark was still there. The coworker said yes and this question and answer were repeated several times. The coworker told Employee #1 to look in the rest room mirror or in the window of the marketing office door. Instead Employee #1 tried to look in the right side mirror of the sit-down fork lift. The mirror could not be adjusted so Employee #1 was unable to see the mark. Employee #1 then moved to the rear of the fork lift thinking she could see the mark from that position. The coworker said she looked to her left and saw another coworker tapping his fingers and waiting to unload a trailer at dock Number 14. The coworker told Employee #1 to move because the other employee wanted to unload the trailer. The coworker said she looked over her left shoulder and did not see Employee #1 so she thought Employee #1 had moved out of the area. The coworker began backing up the forklift. Employee #1 had moved a little to her right but was still standing behind the forklift when the coworker backed over her foot. As soon as the coworker heard Employee #1 yell the coworker drove the forklift forward. Employee #1 suffered a crushed right foot and three fractured toes and was hospitalized. .

Keywords: FRACTURE, CRUSHED, INDUSTRIAL TRUCK, TOE, BACKING UP, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301332375			Hospitalized injury	Other	Laborers, except construction

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