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Inspection Detail
Inspection: 307456079 - Dave Canada Distribution Services
Inspection Information - Office: San Bernardino District Office
Site Address:
Dave Canada Distribution Services
41715 N Enterprise Circle
Temecula, CA 92590
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5149
NAICS: 424490/Other Grocery and Related Products Merchant Wholesalers
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/07/2005
Emphasis:
Case Closed: 10/09/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102440633 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $435 | $0 | $435 |
| Current Penalty | $0 | $0 | $0 | $435 | $0 | $435 |
| 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 | Other | 3660 A | 07/07/2005 | 07/12/2005 | $85 | $85 | $0 | - | ||
| 2. | 01002 | Other | 3650 S17 | 07/07/2005 | 07/12/2005 | $350 | $350 | $0 | - |
Investigation Summary
At approximately 10:05 a.m. on March 8, 2005, Employee #1, a delivery driver, was operating a Caterpillar Type G Fork Lift, Model 499A. He exited from the vehicle to assist a contract worker in turning a pallet of product on a trailer bed. While helping the contract worker, his unattended forklift rolled and struck him from behind. Employee #1 was pinned between the forklift mast and the trailer bumper. The contract worker leaped from the trailer and backed up the forklift. Emergency medical personnel were summoned to the scene of the accident. They administered first aid and transported Employee #1 to a medical center. He was admitted for surgery with a fractured tibia and fibula to his left leg, and was hospitalized for four days.
Keywords: DELIVERY WORK, FRACTURE, VEHICLE IN GEAR, INDUSTRIAL TRUCK, STRUCK BY, LEG, TRUCK DRIVER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307456079 | Hospitalized injury | Fracture | Truck drivers, light |