Inspection Detail

Inspection: 307103846 - Gsa, Fss, Western Distribution Center (9fl)

Inspection Information - Office: San Francisco Ro

Inspection Nr: 307103846

Report ID: 0935000

Date Opened: 02/03/2004

Site Address:
Gsa, Fss, Western Distribution Center (9fl)
Sharpe Army Depot, Bldg. 330
French Camp, CA 95231

Mailing Address:
450 Golden Gate Avenue, San Francisco, CA 94102

Union Status: Union

SIC:9199

NAICS: 921190/Other General Government Support

Inspection Type: Accident

Scope: Partial

Advanced Notice: Y

Ownership:

Safety/Health: Safety

Close Conference: 02/05/2004

Emphasis:

Case Closed: 03/24/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101780484

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			2		5
Current Violations	3			2		5
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	Latest Event
1.	01001	Serious	19600008 A	03/01/2004	04/03/2004	$0	$0	$0	-
2.	01002	Serious	19100178 K01	03/01/2004	03/04/2004	$0	$0	$0	-
3.	01003	Serious	19100178 P01	03/01/2004	03/04/2004	$0	$0	$0	-
4.	02001	Other	19040039 A	03/01/2004	03/04/2004	$0	$0	$0	-
5.	02002A	Other	19100178 L04 III	03/01/2004	03/04/2004	$0	$0	$0	-
6.	02002B	Other	19100178 L06	03/01/2004	03/04/2004	$0	$0	$0	-

Investigation Summary

Investigation Nr: 201780640

Event: 02/02/2004

Employee is killed in fall with forklift

At approximately 3:00 p.m. on February 2, 2004, Employee #1 was using a forklift to unload furniture from a flatbed trailer that was backed up to a loading dock. The weight of the forklift caused the flatbed to tilt and the forklift slid off the trailer and fell about four feet to the asphalt. The employee remained in the lift during the fall by hanging onto one side of the lift. He suffered lacerations to his left kidney and spleen from the blunt trauma and was killed.

Keywords: SPLEEN, STRUCK AGAINST, INDUSTRIAL TRUCK, LACERATION, FALL, KIDNEY, FLATBED TRUCK, LOADING DOCK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307103846			Fatality	Cut/Laceration	Stock and inventory clerks

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