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Inspection Detail
Inspection: 305355976 - Waterline Technologies
Inspection Information - Office: Santa Ana District Office
Site Address:
Waterline Technologies
620 N Santiago Ave
Santa Ana, CA 92701
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5091
NAICS: 423910/Sporting and Recreational Goods and Supplies Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/19/2005
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 09/16/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101143303 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $14,400 | $0 | $0 | $5,825 | $0 | $20,225 |
| Current Penalty | $0 | $0 | $0 | $9,000 | $0 | $9,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 342 A | 08/19/2005 | 09/11/2005 | $4,000 | $5,000 | $0 | 09/16/2005 | F - Formal Settlement | |
| 2. | 01002 | Other | 3203 A | 08/19/2005 | 09/11/2005 | $0 | $275 | $0 | 09/16/2005 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01003 | Other | 5194 E01 | 08/19/2005 | 09/11/2005 | $0 | $275 | $0 | 09/16/2005 | F - Formal Settlement | Citation has been deleted. |
| 4. | 01004 | Other | 3668 F | 08/19/2005 | 09/11/2005 | $0 | $275 | $0 | 09/16/2005 | F - Formal Settlement | Citation has been deleted. |
| 5. | 02001 | Other | 3657 A | 08/19/2005 | 09/11/2005 | $5,000 | $14,400 | $0 | 09/16/2005 | F - Formal Settlement |
Investigation Summary
On April 11, 2005, Employee #1 and a coworker were removing rolls of flexible plastic gas line pipe from a 10-ft-high storage shelf. Each of the rolls weighed about 107 pounds and they were shrink-wrapped in bundles of 12 rolls. The coworker was operating a forklift and Employee #1 was standing on a wooden pallet raised by the forklift. After cutting off the plastic wrapping material, Employee #1 would place one or two of these rolls on the pallet on which he was standing, and the coworker would lower the forks to offload the rolls. They brought down about three rolls in this manner. When Employee #1 placed another two rolls on the elevated pallet, it broke and he fell about 10 ft to the floor. Employee #1 was hospitalized for treatment of a fractured left leg and left wrist, including surgery to install pins and bars.
Keywords: FRACTURE, INDUSTRIAL TRUCK, FALL, PALLET, PIPE, ELEVATED WORK PLAT, STORAGE AREA, WORK SURFACE, LEG, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 305355976 | Hospitalized injury | Fracture | Supervisors; distrib., sched'g & adjusting clerks |