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Inspection Detail
Inspection: 111964946 - Sam'S Club
Inspection Information - Office: Redding District Office
Site Address:
Sam'S Club
900 N. Walton Avenue
Yuba City, CA 95991
Mailing Address:
900 N. Walton, Yuba City, CA 95991
Union Status: NonUnion
SIC:5231
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/23/1994
Emphasis:
Case Closed: 01/23/1995
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362111189 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $450 | $0 | $450 |
| Current Penalty | $0 | $0 | $0 | $450 | $0 | $450 |
| 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 | 342 A | 10/11/1994 | 08/23/1994 | $300 | $300 | $0 | - | ||
| 2. | 01002 | Other | 3249 B | 10/11/1994 | 11/11/1994 | $150 | $150 | $0 | - |
Investigation Summary
At 7:00 p.m. on June 15, 1994, Employee #1 was driving backwards with a Crown Upright Operated Forklift Model 30 RCCT-S electric with a 2700 pound maximum capacity. He made a turn and lost control and crashed into metal storage racks pinning him between the machine and the metal racks. Employee #1 received a puncture wound to his left hip and bruises to his back.
Keywords: PIN, PINNED, BACK, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, CONTUSION, PUNCTURE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111964946 | Hospitalized injury | Puncture | Industrial truck and tractor equipment operators |