Inspection Detail

Inspection: 307323758 - Umpqua Dairy Products Company Inc

Inspection Information - Office: Medford

Inspection Nr: 307323758

Report ID: 1054116

Date Opened: 02/10/2004

Site Address:
Umpqua Dairy Products Company Inc
333 Se Sykes St
Roseburg, OR 97470

Mailing Address:
Po Box 1306, Roseburg, OR 97470

Union Status: Union

SIC:2026

NAICS: 311511/Fluid Milk Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/23/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/24/2004

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$100	$0	$100
Current Penalty	$0	$0	$0	$100	$0	$100
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	701070021 C	03/15/2004	03/18/2004	$100	$100	$0		-

Investigation Summary

Investigation Nr: 201621588

Event: 02/04/2004

Employee fractures foot when forklift tips over

On February 4, 2004, Employee #1 was operating a Hyster 30 electric forklift, while loading broken pallets into a trailer. Employee #1 was backing the forklift, without a load, when the rear wheels struck and climbed a bump in the road surface. The forklift's center of balance was displaced and the forklift tipped to its right side. Employee #1 was not wearing a seat belt at the time of the accident. As the forklift tipped over, Employee #1 foot became caught between the side of the forklift and the road surface. Employee #1 fractured his foot. He was hospitalized.

Keywords: LOADING, WHEEL, FRACTURE, SAFETY BELT, CAUGHT BETWEEN, INDUSTRIAL TRUCK, PALLET, TRAILER, BACKING UP, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307323758			Hospitalized injury	Fracture	Occupation not reported

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