State of CaliforniaDivision of Occupational u~l:ety and Health

Investigation SummaryWed Oct 28, 2009 2:58pm

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F.Female40A. Fatality21 Other

GOLDEN STATE FOODS07:55 am

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Abstract:

At approximately 9: 15 am on July 21, 2009 West Covina DaSH responded to the fatality involving an employee ofGolden State Foods, Inc. located at 640 S. 6th Street, City of Industry, CA. Golden State Foods, Inc is engaged infood processing and packaging for fast food restaurants. The company has three hundred and eighty five (385)employees working on three shifts.

At approximately 7:55 am on July 21, 2009 one of the robotic palletizer operators sustained a fatal injury when shewas crushed between the robotic arms of a Okura A1600 articulated robot palletizer and a roller conveyor. Theemployee was attempting to remove a jammed box from the roller conveyor when the accident occurred. Theemployed was pronounced dead at the scene by Los Angeles County fire paramedics. The deceased employee was40 years old.

The initial investigation indicates that the employee may have entered the caged robotic palletizer cell by pushing opena locked sliding door which was not mounted on its door track. Interviewed employees stated that the door had beenoff it's lower track for seven months. Two such doors which were off their tracks were found on the robotic cellinvolved in the accident. The employee did not de-energize the robotic palletizer and entered the robotic cell with therobotic palletizer running. The employee's torso was crushed by the effector arms of the robotic palletizer as itattempted to pickup boxes on the roller conveyor.

OSHA-170print(Rev. 11/93)

State of CaliforniaDEPARTMENT OF INDUTRlAL RELATIONS

DIVIVSION OF OCCUPATIONAL SAFETY AND HEALTH

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*Fatality 0*Worker's Compo Carrier -----------

Establishment Name: Golden State Foods

Management Contacted: John Mele

Information on In·uredNarne and Title-----+

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NARRATIVE SUMMARY

Inspection Number:312661507Title: Director of Operations

. Insurance Yes ~ NoDOccu ationMachine Operator

Witness Name(s) and Title *Check box-preceding name if confidentiality given.* Narne and Title Address Phone No. Signed Statement0 WI DYes ~No

0 W2 DYes DNo

0 W3 DYes DNo

SummaryAt approximately 8:28 am on July 21 ,2009 West Covina DOSH received a re~ort from Golden State Foods of a work relatedfatality involving an employee of Golden State Foods, Inc. located at 640 S. 6 h Street, City of Industry, CA. Golden StateFoods, Inc is engaged in food processing and packaging for fast food restaurants. The company has three hundred and eightyfive (385) employees working on three shifts.

At approximately 7:55 am on JUly 21, 2009 one of the robotic palletizer operators sustained a fatal injury when she wascrushed between the robotic arms of an Okura A1600 articulated robot palletizer (serial number 3879) and a roller conveyor.The employee was attempting to remove a jammed box from the roller conveyor when the accident occurred. The employeewas pronounced dead at the scene by Los Angeles County fire paramedics. The deceased employee was 40 years old.

The investigation indicates that the employed entered the caged robotic palletizer cell by pushing open a locked sliding doorwhich was not mounted on its door track. This had been a common practice at Golden State Foods for seven (7) month priorto this fatality. The employee did not de-energize the robotic palletizer and entered the robotic cell with the robotic palletizerrunning. The employee's torso was crushed by the effector arms of the robotic palletizer as it attempted to pickup boxes on theroller conveyor. The employer has received a Serious Accident Related citation Title 8 CCR Section 3314 ( c) and a WilfullSerious citation Title 8 CCR Section 4002(a).

_________________1 Signatur Date !J~ {l69Cal/OSHA 170A

Prepared By:

Reviewed By:

IH

DM/SR.,IH

Regional Manager

Deputy Chief

CallOSHA 170A

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