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Inspection Detail
Inspection: 125533901 - Yardbirds
Inspection Information - Office: American Canyon District Office
Site Address:
Yardbirds
1801 4th Street
San Rafael, CA 94901
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5211
NAICS: 444110/Home Centers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/13/2006
Emphasis:
Case Closed: 04/24/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101020212 |
| Violations/Penalties | 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 Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | 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 A04 | 01/17/2006 | 01/20/2006 | $450 | $450 | $0 | - | ||
| 2. | 01002 | Other | 3664 A | 01/17/2006 | 01/20/2006 | $300 | $300 | $0 | - |
Investigation Summary
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 | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125533901 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |