Inspection Detail

Inspection: 300754314 - Western Wine Services

Inspection Information - Office: American Canyon District Office

Inspection Nr: 300754314

Report ID: 0950615

Date Opened: 11/01/2011

Site Address:
Western Wine Services
1275 Commerce Blvd
American Canyon, CA 94503

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/06/2012

Emphasis:

Case Closed: 03/03/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	102649514

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$750	$0	$750
Current Penalty	$0	$0	$0	$390	$0	$390
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	3203 A04	02/06/2012	03/22/2012	$150	$150	$0		-
2.	01002	Other	3704	02/06/2012	02/09/2012	$240	$600	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201023645

Event: 10/28/2011

Tow Truck Driver Is Injured in Roll-Over

At approximately 6:00 a.m. on October 28, 2011, Employee #1 was driving an industrial tow truck known as a "yard Dog" (Ottawa Model Number 30, Serial Number 311435, manufactured in 2005 by Kalmar Industries Corp). It was towing a 40 ft trailer/container loaded with boxes of wine from a warehouse parking lot to the loading dock of another warehouse. When the truck rolled over, he sustained a concussion and a lacerated lip. Employee #1 was hospitalized for treatment.

Keywords: HEAD, WAREHOUSE, ROLL-OVER, LACERATION, TOW TRUCK, CONCUSSION, CONTAINERIZED CARGO, TRAILER, FACE, TRUCK DRIVER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300754314			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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