Inspection Detail

Inspection: 126090109 - Calply

Inspection Information - Office: Monrovia District Office

Inspection Nr: 126090109

Report ID: 0950644

Date Opened: 09/06/2002

Site Address:
Calply
4450 Radua Ave
01331195t, CA 91711

Mailing Address:
1400 E Cerritos Ave, Anaheim, CA 92808

Union Status: NonUnion

SIC:9999

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/17/2002

Emphasis:

Case Closed: 06/28/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	362554289
Accident	362557654

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1			1		2
Initial Penalty	$22,050	$0	$0	$0	$0	$22,050
Current Penalty	$16,200	$0	$0	$0	$0	$16,200
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	Serious	3650 S07	10/15/2002	10/29/2002	$16,200	$16,200	$0	04/30/2003	W - Empr Withdrew
2.	02001	Other	3653 A	10/15/2002	10/29/2002	$0	$5,850	$0	04/30/2003	J - ALJ Decision

Investigation Summary

Investigation Nr: 201796125

Event: 09/05/2002

Employee suffers head injury when forklift overturns

At approximately 7:00 p.m. on September 5, 2002, Employee #1 was using a Champ forklift, Model Number CRL-60, Serial Number HCRL607DDRZ860262, to move pallets of stucco from his parked truck to the front of some residences under construction. Employee #1 had finished making a drop and was going down the street to the parked truck when the forklift's brakes began to fail. Employee #1 lost control of the vehicle, which went up the left side of the road and then flipped onto its right side. Employee #1 was ejected from his seat, striking his head on the pavement as he landed. Employee #1 suffered serious head trauma and was transported to the hospital and was admitted. Employee #1 remained in a coma for two days after the accident. The forklift was not provided with a seat belt assembly.

Keywords: EJECTED, HEAD, UNCONSCIOUSNESS, IND TRK OPERATOR, BRAKE, INDUSTRIAL TRUCK, SEAT BELT, LOST CONTROL, MECH MALFUNCTION, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	126090109			Hospitalized injury	Other	Industrial truck and tractor equipment operators

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