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Inspection Detail
Inspection: 125883843 - Staples Distribution Center
Inspection Information - Office: San Bernardino District Office
Site Address:
Staples Distribution Center
450 S Cactus Ave
Rialto, CA 92376
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:4225
NAICS: 493110/General Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/08/2004
Emphasis:
Case Closed: 10/09/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101156743 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $6,750 | $0 | $0 | $5,750 | $0 | $12,500 |
| Current Penalty | $2,700 | $0 | $0 | $300 | $0 | $3,000 |
| 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 | 342 A | 12/08/2004 | 03/07/2005 | $0 | $5,000 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01002 | Other | 3650 S09 | 12/08/2004 | 02/14/2005 | $300 | $750 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Serious | 3999 B | 12/08/2004 | 02/07/2005 | $2,700 | $6,750 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 1:30 a.m. on June 9, 2004, Employee #1 was operating a Raymond, Model Number EASR45TTMB, stand-in type forklift at a main distribution center engaged in receiving, storing and shipping of office equipment and supplies. As Employee #1 attempted to stow three pallets of merchandize on a rack, located in isle 49 of the replenish department, she panicked, lost control of the forklift and backed into the stationary racks, crushing her left arm. Employee #1 was initially taken to the Arrowhead Regional Medical Center in Colton, California and was later transferred to the Kaiser Permanente Hospital in Fontana, California, where she underwent surgery. Employee #1 was released four days later.
Keywords: FRACTURE, CAUGHT BY, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, ARM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125883843 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |