Translate
Inspection Detail
Inspection: 314760638 - Kohl'S Department Store, Inc.
Inspection Information - Office: High Hazard Unit - South
Site Address:
Kohl'S Department Store, Inc.
825 E Central Ave
San Bernardino, CA 92408
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:4225
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/08/2013
Planning Guide: Safety-Manufacturing
Emphasis: L:Regionp1, S:Targeted Compl & Consult
Case Closed: 04/09/2014
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101695641 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $10,125 | $0 | $0 | $750 | $0 | $10,875 |
| Current Penalty | $5,400 | $0 | $0 | $1,200 | $0 | $6,600 |
| 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 | 461 A | 03/08/2013 | 04/09/2013 | $300 | $375 | $0 | F - Formal Settlement | ||
| 2. | 01002 | Other | 3203 B01 | 03/08/2013 | 04/09/2013 | $300 | $375 | $0 | 03/29/2013 | F - Formal Settlement | |
| 3. | 02001 | Other | 3382 A | 03/08/2013 | 03/15/2013 | $600 | $3,375 | $0 | 03/29/2013 | F - Formal Settlement | |
| 4. | 03001 | Serious | 4353 G | 03/08/2013 | 03/15/2013 | $2,700 | $3,375 | $0 | 03/29/2013 | F - Formal Settlement | |
| 5. | 04001 | Serious | 5162 B | 03/08/2013 | 03/15/2013 | $2,700 | $3,375 | $0 | 03/29/2013 | F - Formal Settlement |
Investigation Summary
At approximately 9:01 a.m. on September 24, 2012, Employee #1 was working as a materials handler in the receiving department. She was using a Crown stand-up forklift (Model Number PE4500-60, Serial Number 6A282394) to move the material. She drove the stand-up forklift toward a door between outbound and inbound areas. Employee #1 was holding a water bottle in her hand and had placed one on the forklift's battery. The bottle on the battery started to fall and she leaned down to catch it. As she leaned down, the forklift started to angle towards the right of a door instead of going straight through the door opening. She attempted to stop the forklift when she saw she was about to hit the door, but was not able to do so. She jumped from the forklift and struck her left leg against the door, injuring it. Employee #1 was transported to a medical center, where she received medical attention and was then hospitalized.
Keywords: HYDRAULIC LIFT, STAND-UP OPERATOR, STRUCK AGAINST, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314760638 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |