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Inspection Detail
Inspection: 311155477 - R.C. Lemus, Inc. Dba Mcdonald'S
Inspection Information - Office: Fremont District Office
Site Address:
R.C. Lemus, Inc. Dba Mcdonald'S
1935 Tully Rd.
San Jose, CA 95122
Mailing Address:
5187 Harwood Rd., San Jose, CA 95124
Union Status: NonUnion
SIC:5812
NAICS: 722211/Limited-Service Restaurants
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/08/2008
Emphasis:
Case Closed: 05/11/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102557386 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $545 | $0 | $545 |
| Current Penalty | $0 | $0 | $0 | $200 | $0 | $200 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3203 A | 04/08/2008 | 05/23/2008 | $100 | $135 | $0 | 04/30/2008 | F - Formal Settlement | |
| 2. | 01002 | Other | 3382 A | 04/08/2008 | 04/11/2008 | $100 | $410 | $0 | 04/30/2008 | F - Formal Settlement |
Investigation Summary
At approximately 8:00 a.m. on September 29, 2007, Employee #1 attempted to remove nails from a wooden pallet with the end of a hammer, and a piece of wood broke off and flew into his right eye. Employee #1 was hospitalized, undergoing surgery for his eye injury.
Keywords: EYE, SPLINTER, WOOD CHIPS, STRUCK BY, FLYING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 311155477 | Hospitalized injury | Foreign Body Ineye | Janitors and cleaners |