TranslateInspection Detail
Inspection: 125533901 - Yardbirds
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Inspection Information - Office: Ca American Canyon District Office | ||||
| Nr: 125533901 | Report ID: 0950615 | Open Date: 10/12/2005 | ||
| Yardbirds | ||||
| 1801 4th Street San Rafael, CA 94901 | Union Status: NonUnion | |||
| SIC: 5211/Lumber and Other Building Materials Dealers | ||||
| NAICS: 444110/Home Centers | ||||
| Inspection Type: | Accident | |||
| Scope: | Partial | Advanced Notice: | N | |
| Ownership: | Private | |||
| Safety/Health: | Safety | Close Conference: | 01/13/2006 | |
| Close Case: | 04/24/2006 | |||
| Related Activity: | Type | ID | Safety | Health |
| Accident | 101020212 | |||
| Serious | Willful | Repeat | Other | Unclass | Total | |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
| # | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3203 A04 | 01/17/2006 | 01/20/2006 | $450 | $450 | $0 | - | ||
| 2. | 01002 | Other | 3664 A | 01/17/2006 | 01/20/2006 | $300 | $300 | $0 | - |
Accident Investigation Summary | ||||||
|---|---|---|---|---|---|---|
| Summary Nr: 170839385 | Event: 10/11/2005 | Employee'S Pelvis Is Fractured When Struck By Forklift | ||||
| At approximately 7:00 a.m., on October 11, 2005, Employee #1 was taking a smoke break, when she was struck by a Hyster S59XM fork lift. An operator was backing the heavily laden forklift out of the building department area through the rear roll-up doorway. The operator observed Employee #1 as she stood adjacent to the building department rear doorway. While backing towards her, the operator was unable to stop before striking her. She was pinned between the forklift and the building wall. She was hospitalized with a fractured pelvis at Marin General Hospital. | ||||||
| Keywords: back-up alarm, brake, speeding, work rules, industrial truck, inexperience, smoking, struck by, backing up, inattention | ||||||
| Inspection | Degree | Nature | Occupation | |||
| 1 | 125533901 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators | ||