Inspection Detail

Inspection: 305474181 - Custom Goods Llc

Inspection Information - Office: Long Beach District Office

Inspection Nr: 305474181

Report ID: 0950635

Date Opened: 09/15/2003

Site Address:
Custom Goods Llc
1130 Watson Center Rd
Carson, CA 90745

Mailing Address:
1111 Watson Center Rd Unit C, Carson, CA 90745

Union Status: NonUnion

SIC:5045

NAICS: 423430/Computer and Computer Peripheral Equipment and Software Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/17/2004

Emphasis:

Case Closed: 09/13/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	362028177

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$4,385	$0	$0	$0	$0	$4,385
Current Penalty	$810	$0	$0	$0	$0	$810
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	3999 B	02/18/2004	02/19/2006	$810	$4,385	$0	07/27/2004	L - State Settlement

Investigation Summary

Investigation Nr: 201035656

Event: 08/19/2003

Employee receives concussion after striking object

At approximately 10:30 a.m. on August 19, 2003, Employee #1, the warehouse manager was walking back to his office after meeting with a customer outside. He was traveling along a corridor, reportedly reading a document when he encountered a forklift, which was parked on one side of the corridor. The forklift was equipped with two straight-sided clamp attachments that carried a 4-ft by 4-ft by 4-ft brown carton filled with used boxes. The driver stopped the forklift to adjust the load. As Employee #1 approached the forklift from the front, his right chest hit the left hand side clamp, causing him to lose his balance and strike his head on the floor. Emergency medical personnel were summoned. They arrived and took him to a medical center. At the hospital, he was treated for a concussion and then hospitalized for observations.

Keywords: CHEST, HOLD-DOWN CLAMP, LOAD SHIFT, INDUSTRIAL TRUCK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305474181			Hospitalized injury	Concussion	Managers and administrators, n.e.c

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