Inspection Detail

Inspection: 125749820 - Super Store Industries

Inspection Information - Office: Modesto District Office

Inspection Nr: 125749820

Report ID: 0950624

Date Opened: 01/06/2003

Site Address:
Super Store Industries
16888 Mckinley Ave
Lathrop, CA 95330

Mailing Address:
Po Box 549, Lathrop, CA 95330

Union Status: NonUnion

SIC:5149

NAICS: 312112/Bottled Water Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/06/2003

Emphasis:

Case Closed: 09/30/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	361712516

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$4,050	$0	$0	$0	$0	$4,050
Current Penalty	$0	$0	$0	$450	$0	$450
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	3650 S09	02/07/2003	02/24/2003	$450	$4,050	$0	02/12/2003	J - ALJ Decision

Investigation Summary

Investigation Nr: 201103082

Event: 08/08/2002

Employee's Foot Crushed Between Forklift and Column

On August 8, 2002, Employee #1 was driving a Barrett lift truck down an aisle in a warehouse to pick up some product. When Employee #1 reached the product, he dismounted, but the vehicle continued to roll toward the rack system instead of straight down the aisle. Employee #1 jumped back onto the lift truck and hit the reverse button, which caused the lift truck to lurch into reverse. Employee #1 lost his balance and his left leg swung outside the vehicle. His left foot became caught between the lift truck and a yellow steel pole. Employee #1 sustained a compartmental crush injury that resulted in the amputation of his left great toe, and bone loss in his second toe. Employee #1 was hospitalized.

Keywords: AMPUTATED, IND TRK OPERATOR, VEHICLE IN GEAR, WORK RULES, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, TOE, BACKING UP, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125749820			Hospitalized injury	Amputation	Machine operators, not specified

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