Inspection Detail
Inspection: 312666852 - Roma Of Southern California, A Division Of Perform
Inspection Information - Office: Monrovia District Office
Site Address:
Roma Of Southern California, A Division Of Perform
16639 Gale Ave
City Of Industry, CA 91745
Mailing Address:
, , 00000
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: 11/10/2011
Emphasis:
Case Closed: 12/10/2011
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102712361 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,680 | $0 | $1,680 |
| Current Penalty | $0 | $0 | $0 | $1,680 | $0 | $1,680 |
| 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 | 3203 A | 11/10/2011 | 11/20/2011 | $560 | $560 | $0 | - | ||
| 2. | 01002 | Other | 3272 E | 11/10/2011 | 11/20/2011 | $560 | $560 | $0 | - | ||
| 3. | 01003 | Other | 3704 | 11/10/2011 | 11/20/2011 | $560 | $560 | $0 | - |
Investigation Summary
At approximately 3:30 p.m. on May 16, 2011, Employee #1 was operating an order picker inside the cooler room of a food storage warehouse. The aisle in this room was too narrow to safely operate this equipment. Wood pallets on the order picker struck a storage rack and fell. Employee #1 was hospitalized at Whittier Hospital Medical Center for a fractured left leg.
Keywords: FRACTURE, WAREHOUSE, EQUIPMENT OPERATOR, INDUSTRIAL TRUCK, PALLET, STORAGE RACK, STORAGE AREA, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312666852 | Hospitalized injury | Fracture | Occupation not reported |
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