Inspection Detail
Inspection: 303614291 - Terra Copia Inc.
Inspection Information - Office: Utah Division Of Occupational Safety And Health
Site Address:
Terra Copia Inc.
950 West 2950 South
Salt Lake City, UT 84119
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3089
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/01/2001
Planning Guide: Safety-Manufacturing
Emphasis: S:Amputations, S:Manufacturing
Case Closed: 06/01/2001
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362653321 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $1,125 | $0 | $0 | $0 | $0 | $1,125 |
| Current Penalty | $1,125 | $0 | $0 | $0 | $0 | $1,125 |
| 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. | 01001A | Serious | 19100178 K01 | 03/14/2001 | 03/20/2001 | $1,125 | $1,125 | $0 | - | ||
| 2. | 01001B | Serious | 19100178 L06 | 03/14/2001 | 03/26/2001 | $0 | $0 | $0 | - | ||
| 3. | 02001 | Other | 19100305 B02 | 03/14/2001 | 03/20/2001 | $0 | $0 | $0 | - |
Investigation Summary
On January 30, 2001, Employee #1 was boarding a delivery truck equipped with a forklift and drove the lift over the dock plate. The truck rolled forward approximately 6-to-7 ft. The forklift fell between the truck and the dock landing on the rear counterweight. Employee #1 jumped off the forklift as it was falling and landed on the blacktop next to the forklift and broke his pelvis in two places when he landed. Employee #1 was hospitalized.
Keywords: FRACTURE, INDUSTRIAL TRUCK, PELVIS
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 303614291 | Hospitalized injury | Fracture | Management related occupations, n.e.c. |
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