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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1461147.015 - James Otis**

**Inspection Information - Office: Ca Fremont District Office**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   James Otis			   10655 Mary AveCupertino, CA 95014

**Mailing Address**: 			   10789 Juniper Ct., Cupertino, CA 95014

**Union Status**: NonUnion

**SIC**:

**NAICS**: 333244 

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 07/13/2020

**Emphasis**:

**Case Closed**: 04/12/2021

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 5:45 a.m. on February 5, 2020, an employee was relocating a printing machine and had it on a pallet jack.  The employee was pinned against a vehicle when the equipment fell from the jack and was struck by it.  The employee was transported to the hospital and had sustained multiple blunt force trauma injuries to his body as well as a complex pelvic injury.  The employee died while being treated at the hospital.

**Keywords:**blunt force trauma, jack, pallet, pelvis, pinned, struck by
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