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Inspection Detail
Inspection: 125963694 - Montgomery Ward
Inspection Information - Office: San Bernardino District Office
Site Address:
Montgomery Ward
14141 Yorba Avenue
Chino, CA 91710
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5311
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/21/1998
Emphasis:
Case Closed: 04/30/1999
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362044117 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $600 | $0 | $600 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 12/28/1998 | 04/23/1999 | $0 | $300 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 3664 A17 | 12/28/1998 | 12/31/1998 | $300 | $300 | $0 | - |
Investigation Summary
At approximately 4:19 p.m. on July 24, 1998, Employee #1 was operating a forklift when he decided to get off and help a coworker. Employee #1 did not set the parking brake. The forklift was parked on an inclined and it started to roll. Employee #1 attempted to jump on the forklift but it pinned him against the wall. Employee #1 received a fractured pelvic bone and was hospitalized.
Keywords: FRACTURE, BRAKE, PINNED, INDUSTRIAL TRUCK, PELVIS, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125963694 | Hospitalized injury | Fracture | Occupation not reported |