Inspection Detail

Inspection: 305355489 - Commodity Logistics West Inc

Inspection Information - Office: Foster City District Office

Inspection Nr: 305355489

Report ID: 0950637

Date Opened: 03/09/2005

Site Address:
Commodity Logistics West Inc
11900 Riverside Dr
Mira Loma, CA 91752

Mailing Address:
4155 Wineville Road, Mira Loma, CA 91752

Union Status: NonUnion

SIC:4214

NAICS: 484210/Used Household and Office Goods Moving

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/02/2005

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/03/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	362461410

Investigation Summary

Investigation Nr: 201146479

Event: 02/23/2005

Employee Amputates Leg When Struck by Forklift

At about 12:40 p.m. on February 23, Employee #1, a contract employee, was performing his normal job duties of operating a Crown model number RC3000 powered industrial truck, with equipment number RC011. He filled and delivered orders at the Commodity Logistics West, Inc., distribution center in Mira Loma, CA. Recognizing that he had driven too far down an aisle between racks of palletized cargo and had gone past the merchandise he wanted to retrieve, he backed up. When he stepped off the truck, he was caught between a support pole and the truck. Employee #1 sustained an amputation injury of the left leg just above the ankle. He was hospitalized.

Keywords: AMPUTATED, PALLETIZED CARGO, INDUSTRIAL TRUCK, STRUCK BY, ANKLE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305355489			Hospitalized injury	Amputation	Industrial truck and tractor equipment operators

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