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Inspection Detail
Inspection: 1534214.015 - Costco Depot 960
Inspection Information - Office: San Bernardino District Office
Site Address:
Costco Depot 960
11600 Riverside Drive
Mira Loma, CA 91752
Mailing Address:
11600 Riverside Drive, Mira Loma, CA 91752
Union Status: NonUnion
SIC:
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/25/2021
Emphasis:
Case Closed: 08/25/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1765599 |
Investigation Summary
At 12:50 p.m. on May 4, 2021, an employee working as a shipping and receiving clerk for a warehouse distribution center was driving an Electric Pallet Jack (EPJ) powered industrial vehicle (PIV) to move boxes on a pallet. The employee was a full-time, permanent employee of the employer. The employee was driving the PIV near the junction of two drive ways. While making a right turn, she crashed into a parked forklift. The employee was hospitalized for one week to treat a fractured left leg.
Keywords: Blunt force, Blunt force trauma, Collision, Equipment Operator, Fracture, Industrial Truck, Leg, Material Handling, Moving, Moving Object, Obstructed View, PIV, Pallet, Pallet Jack, Palletized Cargo, Powered Industrial Vehicle, Struck Against, Struck By, Unsafe Position, Warehouse, Warehouse Aisle, Work Surface, Wrong Equipment
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1534214.015 | 38 | F | Hospitalized injury | Traffic, shipping and receiving clerks |