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Inspection Detail
Inspection: 310605563 - Burlington Coat Factory
Inspection Information - Office: San Bernardino District Office
Site Address:
Burlington Coat Factory
570-A East Mill Street
San Bernardino, CA 92410
Mailing Address:
570 West Mill Street, Suite A, San Bernardino, CA 92410
Union Status: NonUnion
SIC:4225
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/08/2009
Emphasis:
Case Closed: 09/19/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102555810 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| 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 T09 | 07/08/2009 | 08/10/2009 | $560 | $560 | $0 | - |
Investigation Summary
At approximately 1:26 p.m. on January 9, 2009, Employee was in a warehouse operating a Hyster High Lift, Model Number F-19. Employee stated she was going on a break. She turned from the rack area, and the High Lift started to slide. She put out her foot to stop it from hitting the rack. Her left foot was crushed between the frame of the forklift she was operating and the support column at the end of the storage rack. Employee was transported to Loma Linda University Medical Center where she was admitted and surgery was performed. Employee was hospitalized for approximately two days. The investigation was conducted on January 30, 2009. Her employer provided documentation for support. Employee was a certified forklift operator. Subsequent to the accident, the forklift being operated at the time of her injury was inspected in-house by maintenance personnel, and no deficiencies were noted.
Keywords: CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, STORAGE RACK, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310605563 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |