Translate
Inspection Detail
Inspection: 307454009 - Materials Supplies, Inc
Inspection Information - Office: San Bernardino District Office
Site Address:
Materials Supplies, Inc
4325 Etiwanda Ave
Mira Loma, CA 91752
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:4226
NAICS: 493190/Other Warehousing and Storage
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/04/2005
Emphasis:
Case Closed: 10/09/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101157634 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $6,870 | $0 | $6,870 |
| Current Penalty | $0 | $0 | $0 | $6,870 | $0 | $6,870 |
| 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 | 342 A | 01/04/2005 | 02/07/2005 | $5,000 | $5,000 | $0 | - | ||
| 2. | 01002 | Other | 3650 S09 | 01/04/2005 | 02/07/2005 | $935 | $935 | $0 | - | ||
| 3. | 01003 | Other | 3668 F | 01/04/2005 | 02/07/2005 | $935 | $935 | $0 | - |
Investigation Summary
On August 2, 2004, Employee #1 was working for a manufacturer and distributor of HVAC systems, operating a Mitsubishi Stand-Up Forklift in a warehouse. After hearing a noise and a call for help, a supervisor and a coworker found Employee #1 unconscious, with his torso pined between the forklift body and a metal storage rack in an overextended, stretched position, with his right foot lifted off the ground. The coworker moved the forklift in reverse to free Employee #1, who then regained consciousness, but was having difficulty breathing. The coworker observed a small mark on Employee #1's stomach. Employee #1 was then assisted into a sitting position on a nearby mobile ladder stand. He was subsequently transported to Riverside Community Hospital, where he died. A mechanical inspection of the stand-up forklift after the incident found no mechanical deficiencies.
Keywords: CHEST, UNCONSCIOUSNESS, STAND-UP OPERATOR, WAREHOUSE, PINNED, TORSO, CAUGHT BETWEEN, INDUSTRIAL TRUCK, STORAGE RACK, STORAGE AREA
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307454009 | Fatality | Other | Traffic, shipping and receiving clerks |