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Inspection Detail
Inspection: 316345685 - United Stationers Supply Co
Inspection Information - Office: Monrovia District Office
Site Address:
United Stationers Supply Co
21508 E Ferrero Pkwy
Walnut, CA 91789
Mailing Address:
918 S Stimson Ave, Industry, CA 91745
Union Status: Union
SIC:5112
NAICS: 453210/Office Supplies and Stationery Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/06/2013
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/02/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102719093 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $935 | $0 | $935 |
| Current Penalty | $0 | $0 | $0 | $935 | $0 | $935 |
| 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 B01 | 11/06/2013 | 12/09/2013 | $375 | $375 | $0 | - | ||
| 2. | 01002 | Other | 3650 T05 | 11/06/2013 | 12/09/2013 | $560 | $560 | $0 | - |
Investigation Summary
At approximately 11:20 a.m. on July 22, 2013, Employee #1, with United Stationers Supply Company, had been cleaning a break room and was dumping trash using a forklift (Raymond; Model Number: R40-C40TT; Serial Number: R40-01-03202) with a clamp attachment. Employee #1 returned the forklift to the charging station in reverse gear (tractor-first) with approximately one ft between the rack that holds replacement batteries and the forklift. Then, he exited the forklift prior to allowing the forklift to come to a complete stop. Employee #1's left foot was caught between the rear of the forklift and the rack holding the replacement batteries. Employee #1 was working alone. There were no witnesses to the accident. Employee #1 was then taken via ambulance to the hospital, where Employee #1 was hospitalized and treated for a fractured ankle. The cause of the accident was that Employee #1 did not allow the forklift to come to a complete stop prior to placing any part of Employee #1's body outside the running lines of an industrial truck where shear or crushing hazards existed.
Keywords: FRACTURE, VEHICLE IN GEAR, BATTERY CHARGER, CAUGHT BETWEEN, INDUSTRIAL TRUCK, ANKLE, BACKING UP, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316345685 | Hospitalized injury | Fracture | Occupation not reported |