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Inspection Detail
Inspection: 309906162 - Xerox Corporation
Inspection Information - Office: Long Beach District Office
Site Address:
Xerox Corporation
12889 Moore St
Cerritos, CA 90703
Mailing Address:
, , 00000
Union Status: Union
SIC:3579
NAICS: 333313/Office Machinery Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/15/2007
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 11/05/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362414419 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| 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 T12 | 08/20/2007 | 04/11/2008 | $560 | $18,000 | $0 | 09/06/2007 | F - Formal Settlement |
Investigation Summary
At approximately 3:15 p.m. on April 27, 2007, Employee #1 was working as a regular, fulltime stock handler for the Xerox Corporation at their facility in Cerritos, CA, for the warehousing and distribution of copying machines and similar items in a western region. As he was standing and facing a rack, trying to retrieve a part, a coworker was backing up a Raymond Model Number EASI DR30TT stand-up forklift, with Serial Number EZ-D-07-37814, to stage parts and material being brought from another location. The forklift weighed 2,650 pounds and was red in color; there are about twenty-five at the facility. The coworker, monitoring the goods that were positioned on the forks of the truck he was driving for proper staging, failed to look in the direction of travel. One of the rear wheels on his truck ran over Employee #1's left foot, lacerating it. Employee #1 was immediately taken to the University of California, Irvine, Healthcare medical center in Orange County for treatment, and he was hospitalized. He was released after three days.
Keywords: IND TRK OPERATOR, WAREHOUSE, INDUSTRIAL TRUCK, LACERATION, STORAGE RACK, STRUCK BY, FOOT, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 309906162 | Hospitalized injury | Cut/Laceration | Occupation not reported |