Inspection Detail

Inspection: 310201462 - Gold Crest, Llc

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 310201462

Report ID: 0950643

Date Opened: 05/14/2008

Site Address:
Gold Crest, Llc
650 Ward Dr. Ste A
Goleta, CA 93117

Mailing Address:
650 Ward Dr., Goleta, CA 93117

Union Status: NonUnion

SIC:5023

NAICS: 423220/Home Furnishing Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/02/2008

Emphasis:

Case Closed: 12/31/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	102540127

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			3		5
Current Violations	1			3		4
Initial Penalty	$15,300	$0	$0	$5,300	$0	$20,600
Current Penalty	$12,600	$0	$0	$500	$0	$13,100
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	10/03/2008	10/13/2008	$500	$5,000	$0	10/15/2008	F - Formal Settlement
2.	01002	Other	3653 A	10/03/2008	10/13/2008	$0	$300	$0	10/15/2008	F - Formal Settlement	Citation has been deleted.
3.	01003	Other	14300029 B01	06/04/2008	06/14/2008	$0	$0	$0		-
4.	02001	Other	3668 A01	10/03/2008	10/13/2008	$0	$2,700	$0	10/15/2008	F - Formal Settlement
5.	03001	Serious	3650 T09	10/03/2008	10/13/2008	$12,600	$12,600	$0	10/15/2008	F - Formal Settlement

Investigation Summary

Investigation Nr: 202466470

Event: 04/30/2008

Employee's Foot Is Crushed by Forklift, Later Is Amputated

On April 30, 2008, Employee #1, of Gold Crest, LLC, was operating a three wheeled powered industrial lift truck (Clark, Model TM20, Serial Number: TM24704779368). Employee #1 was moving the industrial lift truck out of the warehouse area, per the warehouse manager's request, so that a contractor who was conducting work inside the warehouse could move their vehicle out of the warehouse. It was reported that the truck was proceeding at an unsafe speed. Employee #1 made a left turn, and the truck tipped over. Employee #1's right foot was trapped and crushed under the right side of the lift truck. Employee #1 was hospitalized for amputation of his right foot.

Keywords: AMPUTATED, SPEEDING, CRUSHED, INDUSTRIAL TRUCK, TRUCK, FOOT, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310201462			Hospitalized injury	Amputation	Occupation not reported

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