Inspection Detail

Inspection: 307456608 - Morena Tile San Juan, Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 307456608

Report ID: 0950633

Date Opened: 05/03/2005

Site Address:
Morena Tile San Juan, Inc
75520 Merle Drive
Palm Desert, CA 92211

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:1752

NAICS: 238330/Flooring Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/09/2005

Emphasis:

Case Closed: 10/09/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	102440872

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$5,300	$0	$5,300
Current Penalty	$0	$0	$0	$5,300	$0	$5,300
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	342 A	09/09/2005	09/14/2005	$5,000	$5,000	$0		-
2.	01002	Other	3650 S04	09/09/2005	09/14/2005	$300	$300	$0		-

Investigation Summary

Investigation Nr: 202441044

Event: 03/09/2005

Employee fractures foot when run over by forklift

At approximately 4:00 p.m. on March 9, 2005, Employee #1 and a coworker were relocating sheets of granite. After removing the sheets of granite from a truck, they attached a cable around them. They planned to pour water over the granite to make them easier to slide onto the forks of a Komatsu Forklift. Four buckets of water were placed on a pallet. Using the forklift, the coworker picked up the pallet of buckets and began transporting it to the location of the granite sheets. Employee #1 jumped on the forks of the forklift, as the forklift was moving. The coworker was aware that he was riding the forks. As the forklift was traveling, the forklift hit a piece of wood, causing Employee #1 to lose his balance and fall. The forklift stuck his right foot, resulting in foot fractures. The employee was transported to a medical center, where he underwent surgical procedures to repair the fractures and was hospitalized for two days.

Keywords: FRACTURE, IND TRK OPERATOR, RIDING ON EQUIPMENT, INDUSTRIAL TRUCK, FALL, MECH MAT HANDLING, PALLET, STRUCK BY, RUN OVER, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307456608			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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