Inspection Detail

Inspection: 300837176 - Terra Nova Industries

Inspection Information - Office: Foster City District Office

Inspection Nr: 300837176

Report ID: 0950613

Date Opened: 03/13/2002

Site Address:
Terra Nova Industries
1770 S. Amphlett Blvd.
San Mateo, CA 94403

Mailing Address:
1607 Tice Valley Blvd., Walnut Creek, CA 94595

Union Status: NonUnion

SIC:1541

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/19/2002

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 10/12/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101123081

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$14,400	$0	$0	$200	$0	$14,600
Current Penalty	$1,800	$0	$0	$200	$0	$2,000
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	08/23/2002	08/28/2002	$200	$200	$0	09/23/2002	W - Empr Withdrew
2.	02001	Serious	3704	08/23/2002	08/28/2002	$1,800	$14,400	$0	09/23/2002	F - Formal Settlement

Investigation Summary

Investigation Nr: 201123809

Event: 03/04/2002

Employee injured when struck by refrigerator case

At approximately 12:59 p.m. on March 4, 2002, an employee was unloading a delicatessen refrigerator case from a flatbed truck using a forklift. The unsecured load was raised approximately 6 feet above the ground when it fell off the forks and landed on Employee #1, the superintendent, causing a serious spinal injury.

Keywords: DELIVERY WORK, SPINE, UNSECURED, TRUCK, STRUCK BY, FALLING OBJECT, FLATBED TRUCK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300837176			Hospitalized injury	Other	Occupation not reported

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