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Inspection Detail
Inspection: 312576879 - Koosharem Corporation Dba Select Staffing
Inspection Information - Office: Modesto District Office
Site Address:
Koosharem Corporation Dba Select Staffing
Humboldt Creamery, 1270 Shaw Rd
Stockton, CA 95215
Mailing Address:
2626 Pacific Ave, Stockton, CA 95204
Union Status: NonUnion
SIC:7361
NAICS: 561310/Employment Placement Agencies
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/01/2010
Emphasis:
Case Closed: 10/26/2011
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102567187 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $4,600 | $0 | $4,600 |
| 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 | 342 A | 03/16/2010 | 03/19/2010 | $4,600 | $5,000 | $0 | 04/06/2010 | F - Formal Settlement |
Investigation Summary
On December 14, 2007, Employee #1 was operating a motorized riding pallet jack in a cold storage warehouse. As he was exiting out of a side aisle, into the main drive aisle, he was struck by an oncoming forklift and sustained serious injuries.
Keywords: WAREHOUSE, COLLISION, INDUSTRIAL TRUCK, WALK-BEHIND FORKLIFT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312576879 | Hospitalized injury | Other | Laborers, except construction |