Inspection Detail

Inspection: 119895639 - Fleetwood Motor Homes Of California Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 119895639

Report ID: 0950633

Date Opened: 07/12/1994

Site Address:
Fleetwood Motor Homes Of California Inc
5300 Via Ricardo
Riverside, CA 92509

Mailing Address:
P.O. Box 5726 - Att: Jeff Goodrick, Riverside, CA 92517

Union Status: NonUnion

SIC:3716

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/12/1994

Emphasis:

Case Closed: 01/04/1995

Related Activity
Type	Activity Nr	Safety	Health
Accident	362236002

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$300	$0	$300
Current Penalty	$0	$0	$0	$300	$0	$300
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	3203 B	11/09/1994	11/09/1994	$300	$300	$0		-

Investigation Summary

Investigation Nr: 170356547

Event: 04/27/1994

Employee falls from rack and strikes head

At approximately 7:10 a.m. on April 27, 1994, Employee #1, of Fleetwood Motor Homes of California, Inc., drove his industrial cart to the universal molding rack located outside. It is thought that he climbed on the rack, which is over 10 ft high, in an attempt to reach a box of spare parts. Employee #1 fell from the rack, striking his head on the asphalt. He got up and drove his cart to the receiving area, where he was met by the receiving leadman. Employee #1 has no recollection of the accident. He was hospitalized for three days as a result of his injuries.

Keywords: HEAD, IND TRK OPERATOR, WORK RULES, STRUCK AGAINST, FALL, STORAGE RACK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119895639			Hospitalized injury	Cut/Laceration	Occupation not reported

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