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Inspection Detail
Inspection: 307456301 - K-Mart #870
Inspection Information - Office: San Bernardino District Office
Site Address:
K-Mart #870
3100 Milliken Ave
Mira Loma, CA 91752
Mailing Address:
, , 00000
Union Status: Union
SIC:4225
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/22/2005
Emphasis:
Case Closed: 10/09/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102440815 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $6,750 | $0 | $0 | $750 | $0 | $7,500 |
| Current Penalty | $0 | $0 | $0 | $375 | $0 | $375 |
| 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 | 3650 S05 | 08/22/2005 | 08/25/2005 | $0 | $375 | $0 | 09/12/2005 | L - State Settlement | |
| 2. | 01002 | Other | 3650 S09 | 08/22/2005 | 08/25/2005 | $0 | $375 | $0 | 09/12/2005 | L - State Settlement | |
| 3. | 02001 | Other | 3650 S07 | 08/22/2005 | 08/25/2005 | $375 | $6,750 | $0 | 09/12/2005 | L - State Settlement |
Investigation Summary
At 12:50 p.m. on February 22, 2005, Employee #1 was working alone as a full-time employee, offloading and shelving merchandise at a firm that receives and warehouses merchandise. He was operating a Crown stand-up-type model number RR5C2C forklift, with serial number 1A228627 and ID number 103. Employee #1 was backing out of aisle C4 and preparing to turn left into aisle C2, when he lost control of the forklift. When Employee #1 lifted his left foot off the pedal, his foot went outside the running lines of the forklift. The forklift struck a pole, crushing Employee #1's foot between the forklift and the pole. He was taken to the hospital, where he was treated for a torn ligament and the amputation of two toes. He was hospitalized for over twenty-four hours. There were no direct witnesses to the incident.
Keywords: AMPUTATED, LIGAMENT, INDUSTRIAL TRUCK, TOE, BACKING UP, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307456301 | Hospitalized injury | Amputation | Industrial truck and tractor equipment operators |