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Inspection Detail

Inspection: 120243910 - Jkk Forklift

Inspection Information - Office: Ca Santa Ana District Office

Nr: 120243910Report ID: 0950631Open Date: 07/16/1999

Jkk Forklift
10 Autry
Irvine, CA 92718
Union Status: NonUnion
SIC: 7699/Repair Shops and Related Services, Not Elsewhere Classified
Mailing: 2175 S Grand Ave, Santa Ana, CA 92705

Inspection Type:Accident
Scope:Complete Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:10/08/1999
Close Case:03/21/2000

Related Activity:TypeIDSafetyHealth
 Accident362392185    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 1
Current Violations 1 1
Initial Penalty $0 $0 $0 $130 $0 $130
Current Penalty $0 $0 $0 $130 $0 $130
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 3203 A 10/14/1999 11/16/1999 $130 $130 $0 12/20/1999 W - Empr Withdrew

Accident Investigation Summary
Summary Nr: 201141199Event: 04/15/1999Employee Injured When Crushed By Forklift
Employee #1 was an equipment mechanic and was in the process of repairing a forklift. Employee #1 raised the rear of the forklift but failed to use blocks, or place the removed tire in a position to provide protection if the vehicle fell. As Employee #1 was removing a broken part from under the forklift, it fell and shattered his right elbow. Employee #1 was hospitalized for his injuries.
Keywords: fracture, repair, blocks, crushed, industrial truck, elbow
Inspection Degree Nature Occupation
1 120243910 Hospitalized injury Fracture Not specified mechanics and repairers

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