Inspection Detail

Inspection: 1916113 - J C Penney #9508-3

Inspection Information - Office: Dallas Area Office

Inspection Nr: 1916113

Report ID: 0626300

Date Opened: 11/05/1984

Site Address:
J C Penney #9508-3
1900 Timberlake
Arlington, TX 76010

Mailing Address:
Po Box 997, New York, NY 10116

Union Status: NonUnion

SIC:5021

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/13/1984

Emphasis:

Case Closed: 10/01/1986

Related Activity
Type	Activity Nr	Safety	Health
Accident	360639447

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$420	$0	$0	$0	$0	$420
Current Penalty	$420	$0	$0	$0	$0	$420
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	19100178 N11	11/19/1984	12/14/1984	$420	$420	$0		-
2.	02001	Other	19100028 A01	11/19/1984	12/07/1984	$0	$0	$0		-

Investigation Summary

Investigation Nr: 14399315

Event: 10/31/1984

CRUSHED WHEN FORKLIFT DROVE OFF RAILROAD CAR.

EMPLOYEE #1 WAS IN THE PROCESS OF LOADING A RAILROAD CAR WITH CRUSHED CARDBOARD BALES. HE WAS WORKING ALONE AND USING A CLARK FORKLIFT (SERIAL NUMBER TW 125-0613-4535) TO LOAD THE RAILROAD CAR. EMPLOYEE #1 HAD JUST PLACED A BALE AND WAS ABOUT TO EXIT. HE STARTED TO BACK OUT OF THE RAILROAD CAR WHEN THE BOTTOM (BACKSIDE) OF THE FORKLIFT HIT THE RAISED LIP OF THE DOCK PLATE, DISLODGING IT AND CAUSING IT TO FALL TO THE GROUND. EMPLOYEE #1 CONTINUED TO BACK OFF. THE FORKLIFT WENT OVER THE EDGE OF THE CAR DOOR AND FELL TO THE GROUND. EMPLOYEE #1 WAS CRUSHED BETWEEN THE FORKLIFT AND A NEARBY BUILDING.

Keywords: RAILROAD CAR, CRUSHED, INDUSTRIAL TRUCK, LOADING DOCK, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1916113			Fatality	Bruise/Contus/Abras	Occupation not reported

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