Inspection Detail

Inspection: 120187281 - Construction Material Suppliers, Inc.

Inspection Information - Office: American Canyon District Office

Inspection Nr: 120187281

Report ID: 0950622

Date Opened: 06/03/1994

Site Address:
Construction Material Suppliers, Inc.
4545 Moran Road
Avery, CA 99999

Mailing Address:
190 Santa Fe Ave., Fresno, CA 93721

Union Status: NonUnion

SIC:4214

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/21/1994

Emphasis:

Case Closed: 11/07/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	361388374

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$200	$0	$200
Current Penalty	$0	$0	$0	$200	$0	$200
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 A12	09/29/1994	06/03/1994	$100	$100	$0		-
2.	10001	Other	3664 A12	09/29/1994	06/03/1994	$100	$100	$0		-

Investigation Summary

Investigation Nr: 170354989

Event: 03/31/1994

Employee suffers multiple fractures when struck by forklift

At 9:50 a.m. on March 31, 1994, Employee #1, a truck driver, was setting stickers on the ground for the placement of drywall that was being off loaded. He was run into by a forklift and was hospitalized with a broken left leg, four fractured ribs, and a fractured pelvis. The Gradall lift truck has a blind side on the right when the boom is carried in a horizontal position, as it was at the time of the accident. This may have been a contributing factor.

Keywords: FRACTURE, OBSTRUCTED VIEW, WORK RULES, INDUSTRIAL TRUCK, PELVIS, RIB, STRUCK BY, LEG, TRUCK DRIVER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120187281			Hospitalized injury	Fracture	Truck drivers, heavy

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