Abstract: On March 29, 2009, Employee #1 was sanitizing equipment in the concentrate blend department of Bolthouse Farms. She was wearing a chemical resistant coat, gloves, face shield, rubber boots, and a cap. However, Employee #1's stature and working position caused the coat to remain open at the bottom. A strong corrosive foam cleaning agent saturated her pants and thermal undergarments. After feeling an itching sensation, she went to a restroom to rinse her out her clothing and wash her leg. Later in the shift, Employee #1 requested to go home but failed to report the exposure to her supervisor. That evening, she noticed the area of contact was turning brown. On April 2, 2009, after noting that the burns were not improving, Employee #1 reported the incident to her supervisor, who informed the safety coordinator. They sent Employee #1 to a medical clinic, where she made six visits for treatment. When the injury still failed to improve, Employee #1 was hospitalized at Grossman Burn Center beginning on April 28, 2009 for skin grafts. Employee #1 had diabetes, which complicated her recovery.