Inspection Detail

Inspection: 313506248 - States Logistics Services Inc.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 313506248

Report ID: 0950633

Date Opened: 08/26/2009

Site Address:
States Logistics Services Inc.
5590 East Francis Ave
Ontario, CA 91761

Mailing Address:
5650 Dolly Ave, Buena Park, CA 90621

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: 02/04/2010

Emphasis:

Case Closed: 02/11/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102609252

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$750	$0	$750
Current Penalty	$0	$0	$0	$750	$0	$750
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	3650 T17	02/04/2010	02/18/2010	$750	$750	$0	03/01/2010	F - Formal Settlement

Investigation Summary

Investigation Nr: 202598041

Event: 08/25/2009

Employee Is Struck by Granite Slab and Is Killed

At approximately 5:30 p.m. on August 25, 2009, Employee #1 was operating a Toyota forklift (Model Number 7TFGLU3, Serial Number 62959) to load Synthetic Granite slabs. The Zodaiq slabs were 121.5-in. by 53-in. by 1.125-ft and 636 pounds and were being placed on to "A" frame rack by using a boom extension and a clamp attached to the forklift. He had loaded three slabs on to "A" frame rack. As he was carrying fourth slab, he dismounted the forklift and did not apply the parking brakes. The forklift moved forward and hit the "A" frame rack causing three slabs to fall on the employee. Employee #1 suffered a crushing injury to his stomach, and he was killed.

Keywords: CRUSHED, INDUSTRIAL TRUCK, STRUCK BY, STOMACH

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	313506248			Fatality	Other	Industrial truck and tractor equipment operators

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