Abstract: At approximately 4:00 p.m. on April 14, 2004, Employee #1, a brew master, was cleaning and sanitizing beer kegs with boiling hot water from a hose connected to a hot water tank. A beer keg had not been properly purged to relieve internal pressure, and when the brew master opened the gate valve, the beer keg, pressurized with 16 to 18 psi of carbon dioxide gas, caused boiling hot water in the tank to overflow from the top of the tank. Approximately five gallons of hot boiling water spilled onto Employee #1, causing second degree burns to his legs, back and arms. A coworker came to his aid and drove him to a nearby hospital for emergency medical care. He was treated for his burns and released. Three days later, Employee #1 went to Arrowhead Regional Medical Center, where he was evaluated and admitted to the Burn Ward with second and third degree thermal burns, and hospitalized for ten days.