Inspection Detail
Inspection: 305474181 - Custom Goods Llc
Inspection Information - Office: Long Beach District Office
Site Address:
Custom Goods Llc
1130 Watson Center Rd
Carson, CA 90745
Mailing Address:
1111 Watson Center Rd Unit C, Carson, CA 90745
Union Status: NonUnion
SIC:5045
NAICS: 423430/Computer and Computer Peripheral Equipment and Software Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/17/2004
Emphasis:
Case Closed: 09/13/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362028177 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $4,385 | $0 | $0 | $0 | $0 | $4,385 |
| Current Penalty | $810 | $0 | $0 | $0 | $0 | $810 |
| 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 | Serious | 3999 B | 02/18/2004 | 02/19/2006 | $810 | $4,385 | $0 | 07/27/2004 | L - State Settlement |
Investigation Summary
At approximately 10:30 a.m. on August 19, 2003, Employee #1, the warehouse manager was walking back to his office after meeting with a customer outside. He was traveling along a corridor, reportedly reading a document when he encountered a forklift, which was parked on one side of the corridor. The forklift was equipped with two straight-sided clamp attachments that carried a 4-ft by 4-ft by 4-ft brown carton filled with used boxes. The driver stopped the forklift to adjust the load. As Employee #1 approached the forklift from the front, his right chest hit the left hand side clamp, causing him to lose his balance and strike his head on the floor. Emergency medical personnel were summoned. They arrived and took him to a medical center. At the hospital, he was treated for a concussion and then hospitalized for observations.
Keywords: CHEST, HOLD-DOWN CLAMP, LOAD SHIFT, INDUSTRIAL TRUCK, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 305474181 | Hospitalized injury | Concussion | Managers and administrators, n.e.c |
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