Inspection Detail

Inspection: 307453555 - Coastal Pacific Food Distributors Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 307453555

Report ID: 0950633

Date Opened: 06/15/2004

Site Address:
Coastal Pacific Food Distributors Inc
1520 E Mission Blvd
Ontario, CA 91761

Mailing Address:
, , 00000

Union Status: Union

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/27/2004

Emphasis:

Case Closed: 07/13/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101156339

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations			1	1		2
Current Violations				1		1
Initial Penalty	$0	$0	$10,000	$635	$0	$10,635
Current Penalty	$0	$0	$0	$350	$0	$350
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	3650 S09	07/27/2004	07/30/2004	$350	$635	$0	08/18/2004	W - Empr Withdrew
2.	02001	Repeat	342 A	07/27/2004	07/30/2004	$0	$10,000	$0	08/18/2004	W - Empr Withdrew	Citation has been deleted.

Investigation Summary

Investigation Nr: 201159076

Event: 05/18/2004

Employee Injures Foot Between Forklift and Rack

At approximately 3:45 a.m. on May 18, 2004, Employee #1, a forklift operator, was driving a Crown electric reach truck (forklift) when he attempted a left turn at an intersection within a food distribution warehouse, and struck a system of steel shelving and food storage racks with the forklift. In the collision, his left foot became caught between the forklift and rack. He sustained injuries to his left heel and ankle, which included fractures. Employee #1 was transported to a medical center, where he was treated and hospitalized for three days. The forklift involved in this accident was a Crown, 5000-pound-capacity electric reach truck, Serial Number 1A270377, Model RD5220-30.

Keywords: FRACTURE, STORAGE BIN, STRUCK AGAINST, DRIVER, COLLISION, INDUSTRIAL TRUCK, STORAGE RACK, ANKLE, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307453555			Hospitalized injury	Fracture	Stock handlers and baggers

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