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Inspection Detail
Note: The following inspection has not been indicated as closed. OSHA citation items will be posted 30 (thirty) days after the employer receives the citation(s), except in cases of significant public interest. Posted citation items reflect any amendments to citations that are the result of a prompt settlement, which OSHA encourages. Employers and employee representatives will continue to receive copies of the citation(s) upon issuance.
Inspection: 1618626.015 - Hm Group Usa/Hm Surerock Inc
Inspection Information - Office: Monrovia District Office
Site Address:
Hm Group Usa/Hm Surerock Inc
1941 Yeager Ave
La Verne, CA 91750
Mailing Address:
1941 Yeager Ave, La Verne, CA 91750
Union Status: NonUnion
SIC:
NAICS: 326199/All Other Plastics Product Manufacturing
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/27/2023
Emphasis:
Case Closed:
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1940581 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $20,250 | $0 | $0 | $1,085 | $0 | $21,335 |
| Current Penalty | $20,250 | $0 | $0 | $1,085 | $0 | $21,335 |
| 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 | 3203(A) | 02/27/2023 | 04/03/2023 | $325 | $325 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 3650(T)(12) | 02/27/2023 | $435 | $435 | $0 | Z - Issued | |||
| 3. | 01003 | Other | 3664(A) | 02/27/2023 | 04/03/2023 | $325 | $325 | $0 | Z - Issued | ||
| 4. | 02001 | Serious | 3650(T)(24) | 02/27/2023 | $6,750 | $6,750 | $0 | Z - Issued | |||
| 5. | 03001 | Serious | 3650(T)(33) | 02/27/2023 | $13,500 | $13,500 | $0 | Z - Issued |
Investigation Summary
At 4:04 p.m. on August 29, 2022, an employee was moving pallets of doors from a shipment. The employee was operating a forklift in reverse to pick-up the pallet. As the forklift moved into the path of travel, he was not looking and did not see the edge of the loading dock. The employee drove the forklift off of the loading dock, causing him to be ejected and crushed under the rollover protective structure of the forklift. The employee was killed.
Keywords: Backing Up, Caught Between, Crushed, Crushing, Ejected, Forklift, Ind Trk Operator, Material Handling, ROPS
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1618626.015 | 64 | M | Fatality | Industrial truck and tractor equipment operators |