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Inspection Detail
Inspection: 305473902 - Xylo Design Inc
Inspection Information - Office: Long Beach District Office
Site Address:
Xylo Design Inc
1580 Francisco St
Torrance, CA 90501
Mailing Address:
21741 S Western Ave, Torrance, CA 90501
Union Status: NonUnion
SIC:2521
NAICS: 337211/Wood Office Furniture Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/30/2003
Emphasis:
Case Closed: 09/11/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362028169 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $695 | $0 | $695 |
| Current Penalty | $0 | $0 | $0 | $695 | $0 | $695 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 14300040 A | 11/13/2003 | 12/08/2003 | $175 | $175 | $0 | - | ||
| 2. | 01002 | Other | 3203 A | 11/13/2003 | 12/08/2003 | $130 | $130 | $0 | - | ||
| 3. | 01003 | Other | 3650 S09 | 11/13/2003 | 11/18/2003 | $195 | $195 | $0 | - | ||
| 4. | 01004 | Other | 3668 A01 | 11/13/2003 | 12/08/2003 | $195 | $195 | $0 | - |
Investigation Summary
At 10:25 a.m. on August 13, 2003, Employee #1, a carpenter helper, was driving a three-wheeled Clark electric forklift (Model Number TM20, Serial Number TM247-0157-9354FB) on a sloping asphalt surface to unload cabinets from a truck. When the forklift tipped over, he jumped off and was pinned to the ground by the overhead guard. The forklift was equipped with a functioning seat belt, but Employee #1 had not put it on. He was hospitalized for a fractured pelvis and hips. The forklift had a decal warning drivers not to try jumping if the forklift tipped over, and instructing them that seat belts should be worn. The Operator's Manual for the forklift discussed these issues in several places and indicated that the forklift was for indoor use on smooth, dry surfaces. A few years earlier, Employee #1 had been trained and evaluated in the use of forklifts.
Keywords: CARPENTER, ROLL-OVER, ROPS, INDUSTRIAL TRUCK, SEAT BELT, SLOPE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 305473902 | Hospitalized injury | Fracture | Carpenter apprentices |