Inspection Detail

Inspection: 307187229 - Pacific Sales/Best Buy

Inspection Information - Office: Monrovia District Office

Inspection Nr: 307187229

Report ID: 0950636

Date Opened: 01/23/2008

Site Address:
Pacific Sales/Best Buy
3931 Workman Mill Road
Whittier, CA 90601

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/17/2008

Emphasis:

Case Closed: 01/12/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	101803096

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$655	$0	$655
Current Penalty	$0	$0	$0	$655	$0	$655
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	Contest	Latest Event	Note
1.	01001	Other	3664 A	03/14/2008	03/19/2008	$375	$375	$0		-
2.	01002	Other	3668 D01 B	03/14/2008	04/16/2008	$280	$280	$0		-

Investigation Summary

Investigation Nr: 202474466

Event: 09/19/2007

Employee Breaks Clavicle in Collision

At approximately 1:30 p.m. on September 19, 2007, an employee suffered a broken collar bone when his floor scrubber was struck by a coworker who was driving a stand up forklift. The employees were performing their normal duties - Employee #1 was cleaning the warehouse floor and the coworker was stocking shelves. The collision occurred inside the warehouse, near the dock doors as Employee #1 went to fill up his scrubber tank with more water. Employee #1 was operating an Adgressor scrubber (by Nilrisk- Advance, Model 38206-C) and the coworker was driving a Crown stand-up forklift (Model RR526504). Both employees had been trained and certified; they had excellent operating records. Their equipment maintenance records showed no mechanical defects. the coworker stated that instead of pulling back on the steering mechanism, he pulled back and up (which activated the forks) and tipped the scrubber over. Employee #1 was given first aid by paramedics and then taken to HealthFirst clinic where he was treated and released that day for his broken clavicle.

Keywords: FRACTURE, COLLARBONE, INDUSTRIAL TRUCK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307187229			Non Hospitalized injury	Fracture	Occupation not reported

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