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Inspection Detail
Inspection: 111826350 - Medallion
Inspection Information - Office: Oakland District Office
Site Address:
Medallion
2434 Polvorosa Ave
San Leandro, CA 94577
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5023
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/06/1990
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 02/11/1997
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361047582 | ||
| Accident | 361286719 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 2 | 2 | 4 | |||
| Initial Penalty | $820 | $0 | $0 | $0 | $0 | $820 |
| Current Penalty | $820 | $0 | $0 | $0 | $0 | $820 |
| 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 | 3657 A05 | 11/06/1990 | 10/05/1990 | $0 | $0 | $0 | 12/14/1990 | W - Empr Withdrew | |
| 2. | 01002 | Other | 3664 A | 11/06/1990 | 11/20/1990 | $0 | $0 | $0 | 12/14/1990 | W - Empr Withdrew | |
| 3. | 02001 | Serious | 3657 A02 | 11/06/1990 | 10/05/1990 | $410 | $410 | $0 | 12/14/1990 | W - Empr Withdrew | |
| 4. | 03001 | Serious | 3657 A03 | 11/06/1990 | 11/09/1990 | $410 | $410 | $0 | 12/14/1990 | W - Empr Withdrew |
Investigation Summary
At approximately 10:00 a.m. on September 21, 1990, Employee #1 was on a 4 ft by 8 ft steel plate that was being used by the employer to elevate rolls of plastic carpet padding up to the fourth level of a warehouse storage rack. Employee #1 and the warehouse manager had loaded the rolls of padding onto the steel plate, and the manager then used a Yale forklift to elevate the plate, carrying the rolls and Employee #1, to a height of approximately 18 ft. Employee #1 was preparing to unload the rolls onto the storage rack when he fell from the elevated platform.
Keywords: WAREHOUSE, WORK RULES, INDUSTRIAL TRUCK, FALL, FALL PROTECTION, OFF LOADING, ELEVATED WORK PLAT, WORK PLATFORM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111826350 | Hospitalized injury | Fracture | Freight, stock and material handlers, n.e.c. |