Inspection Detail

Inspection: 126133727 - Mike Campbell & Associates Inc.

Inspection Information - Office: Monrovia District Office

Inspection Nr: 126133727

Report ID: 0950644

Date Opened: 04/15/1998

Site Address:
Mike Campbell & Associates Inc.
13000 E. Temple Ave.
City Of Industry, CA 91746

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:4222

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/01/1998

Emphasis:

Case Closed: 08/26/1998

Related Activity
Type	Activity Nr	Safety	Health
Accident	362545659

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$5,000	$0	$0	$375	$0	$5,375
Current Penalty	$0	$0	$0	$750	$0	$750
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	342 A	07/02/1998	07/15/1998	$300	$375	$0		I - Informal Settlement
2.	02001	Other	3664 A01	07/02/1998	07/15/1998	$450	$5,000	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201791282

Event: 04/12/1998

EMPLOYEE BACKS FORK LIFT OFF OF DOCK AND IS CRUSHED

At approximately 4:00 p.m. on April 12, 1998, Employee #1 was driving a Nissan fork-lift Number 7 in the dock area to unload material from a trailer truck. He set a pallet down and tried to drive the fork-lift in reverse and drove off the dock. He stated that he tried to stop the fork-lift but he could not. The fork-lift fell on his left leg which resulted in leg, rib, and pelvic fractures, and a back injury. He was hospitalized at USC Medical Center for two months. Employee #1 stated that he was not a certified operator and had no training in fork-lift operations. The fork-lift was inspected by a representative of Crown for-lift trucks on April 13, 1998 and no defects were found except for some damage to the body and electrical wiring.

Keywords: FRACTURE, DOCK, BACK, INDUSTRIAL TRUCK, RIB, UNGUARDED, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	126133727			Hospitalized injury	Fracture	Helpers, mechanics and repairers

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