Inspection Detail

Inspection: 125534719 - Gary D. Nelson Associates,Inc. Dba Nelson Staffing

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125534719

Report ID: 0950615

Date Opened: 09/14/2005

Site Address:
Gary D. Nelson Associates,Inc. Dba Nelson Staffing
3000 Dutton Ave.
Santa Rosa, CA 95407

Mailing Address:
P. O. Box 1546, Sonoma, CA 95476

Union Status: NonUnion

SIC:7361

NAICS: 561310/Employment Placement Agencies

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/07/2006

Emphasis:

Case Closed: 04/24/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	361603350

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 B02	02/08/2006	02/26/2006	$300	$300	$0		-

Investigation Summary

Investigation Nr: 201020674

Event: 09/09/2005

Employee Injures Ankle in Fall

At approximately 1:45 a.m. on September 9, 2005, Employee #1 drove a pallet jack from a cooler area to the loading dock of a warehouse. After parking the jack, he observed a coworker shrink-wrapping boxes on a pallet. Employee #1 walked towards his coworker and began wrestling with him. As Employee #1 grabbed the coworker from behind and tried to lift him up, he tripped over an empty pallet and fell to the floor with the coworker landing on top of him. Employee #1 was hospitalized and treated for a fractured ankle, undergoing surgery to correct the fracture.

Keywords: FRACTURE, WAREHOUSE, WORK RULES, TRIPPED, FALL, PALLET, ANKLE, INATTENTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125534719			Hospitalized injury	Fracture	Freight, stock and material handlers, n.e.c.

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