Inspection Detail

Inspection: 313481319 - Alicia Arroyo Inc. Dba Agri-Labor Services

Inspection Information - Office: Fremont District Office

Inspection Nr: 313481319

Report ID: 0950612

Date Opened: 11/18/2009

Site Address:
Alicia Arroyo Inc. Dba Agri-Labor Services
32530 Silliman Rd.
Soledad, CA 93960

Mailing Address:
P.O. Box 846, Gonzales, CA 93926

Union Status: NonUnion

SIC:0761

NAICS: 115115/Farm Labor Contractors and Crew Leaders

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/18/2010

Emphasis: S:Agriculture (Aship)

Case Closed: 05/04/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	102640778

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$1,125	$0	$1,125
Current Penalty	$0	$0	$0	$1,125	$0	$1,125
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	3203 A04	02/26/2010	04/14/2010	$1,125	$1,125	$0		-

Investigation Summary

Investigation Nr: 202599890

Event: 11/05/2009

Employee Is Injured in Fall from Elevated Container

At approximately 1:45 p.m. on November 5, 2009, Employee #1 was standing in a container that measured 52-inch by 48-inch, shoveling ammonia sulfate from the container into a truck. As the forklift operator lowered the container, it slipped forward and fell off of the forklift forks, 4-ft from the ground, with Employee #1 inside the container. Employee #1 sustained a laceration to his eye from the shovel that he was using, and hit his head and right arm. He was transported to Salinas Valley Memorial Hospital but was not hospitalized for treatment.

Keywords: EYE, HEAD, INDUSTRIAL TRUCK, LACERATION, MECH MAT HANDLING, STRUCK BY, ARM, ELEVATED WORK PLAT, SHOVEL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	313481319			Non Hospitalized injury	Cut/Laceration	Laborers, except construction

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