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Public Warehousing Company

On March 17, 2003, at approximately 8:00 p.m., a 44-year-old apprentice mechanic was killed when he got caught in the hydraulic mechanism of a pallet stacking machine (exhibit #1). The CA/FACE investigator learned of this incident on March 27, 2003, through the Legal Unit of the Division of Occupational Safety and Health (Cal/OSHA). On April 23, 2003, the CA/FACE investigator traveled to the victim’s place of employment where he interviewed company personnel and employees who responded to the incident. The investigator also inspected the incident site and took pictures of the machine involved in the incident.
The employer of the victim was a full service public warehousing and logistics company that had been in business for 25 years. The company had about 1,000 employees, with 150 working at the facility where the incident occurred. The victim had been employed with the company for 5 months. They had a safety program and a written injury and illness prevention program (IIPP) with all the required elements and a formalized training program. Formal safety meetings were held monthly and were documented. Tailgate safety meetings were conducted daily before each shift.
Training was accomplished by utilizing video, booklet, handouts, group discussion, and on-the-job-training (OJT). The training was measured through written quizzes and management observation during the first week of employment. The required training for a specific job was verified by the immediate supervisor’s signature. The victim, an apprentice mechanic, was under the direct supervision of a journeyman mechanic. There was no documentation to verify the victim had received specific training for the task he was performing at the time of the incident. The lockout / tagout procedure was generic in nature and not specific to any piece of equipment.

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