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Inspection Detail
Inspection: 126088426 - Altadena Certified Dairy
Inspection Information - Office: Monrovia District Office
Site Address:
Altadena Certified Dairy
17637 E Valley Bl
Industry, CA 91744
Mailing Address:
, , 00000
Union Status: Union
SIC:5143
NAICS: 424430/Dairy Product (except Dried or Canned) Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/06/2004
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/19/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362590440 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Serious | 3704 | 05/06/2004 | 05/16/2004 | $0 | $18,000 | $0 | 09/30/2004 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
At 9:00 a.m. on January 29, 2004, Employee #1, a dairy product packager, was using a Raymond side-load forklift, Model Number 537-OSR30T, to lower some butters from the upper racks in aisles #7 and #8 to be moved to aisles #1 and #2. The butters were stacked on two pallets with one pallet consisting of two layers of butter and the other had one layer of butter. The pallet containing one layer of butter was placed on top of the other pallet with two layers. As he was transporting the two pallets, to aisles #1 and #2, the top pallet moved a few inches off to the side from where it was originally stacked. The forklift continued to move forward and the top pallet hit the neighboring metal rack. This caused the pallet to bounce toward Employee #1, striking his leg. Employee #1 was hospitalized and treated for multiple fractures to his right lower leg.
Keywords: FRACTURE, INDUSTRIAL TRUCK, PALLET, STRUCK BY, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126088426 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |