Inspection Detail

Inspection: 119890994 - Domino Machinery Movers Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 119890994

Report ID: 0950633

Date Opened: 04/20/1994

Site Address:
Domino Machinery Movers Inc
2006 South Baker Avenue
Ontario, CA 91761

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3537

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/20/1994

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 10/04/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	362231508

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$3,000	$0	$0	$75	$0	$3,075
Current Penalty	$1,500	$0	$0	$75	$0	$1,575
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	3664 A	07/13/1994	07/13/1994	$75	$75	$0		-
2.	02001	Serious	3664 E	07/13/1994	07/13/1994	$1,500	$3,000	$0		A - Amendment

Investigation Summary

Investigation Nr: 170607469

Event: 04/19/1994

EMPLOYEE IS STRUCK BY A MAST

At approximately 10:27 a.m. on April 19, 1994, Employee #1 and two coworkers were installing a mast assembly on a Hystor H300 forklift. To install the mast, another forklift was used to elevate the 8000 lb mast assembly and push the mast into its respective attachment point of the Hyster 300B forklift. As pressure was being applied by the lifting forklift, a wood block slipped resulting in the mast being installed striking Employee #1 in the head. The wood block measured four inches by four inches by twenty-four feet. Employee #1 was hospitalized for seven days. The employer was cited for a serious violation of Section T-8CCR 3664(e).

Keywords: FRACTURE, INDUSTRIAL TRUCK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119890994			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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