Inspection Detail

Inspection: 310603964 - C & M Fine Pack

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 310603964

Report ID: 0950633

Date Opened: 08/25/2008

Site Address:
C & M Fine Pack
4162 North Georgia Blvd
San Bernardino, CA 92407

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3089

NAICS: 326199/All Other Plastics Product Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/25/2008

Emphasis:

Case Closed: 09/19/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	102552940

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$750	$0	$750
Current Penalty	$0	$0	$0	$300	$0	$300
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 T09	11/25/2008	12/29/2008	$300	$750	$0	12/12/2008	F - Formal Settlement

Investigation Summary

Investigation Nr: 202448825

Event: 06/20/2008

Employee's Foot Is Crushed When Lost Control of Forklift

At approximately 1:00 p.m. on June 20, 2008, an employee was assigned to work as a forklift operator at the secondary employer's facility operating a reach truck forklift, Toyota Model Number 7BRU18, Serial Number 34427. While heading west at row J, the employee lost control of the lift truck as he approached the corner concrete wall and his left foot was smashed in between the back side of the lift and the wall. The employee was initially taken to the industrial clinic and was transported to the St. Bernardine Medical Center where he underwent surgery crushed left foot and fifth toe amputation and in-patient hospitalization for a period of three days.

Keywords: AMPUTATED, INDUSTRIAL TRUCK, TOE, LOST CONTROL, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310603964			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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