Inspection Detail
Inspection: 1241349.015 - Inland Industrial Tire North, Inc.
Inspection Information - Office: Sacramento Mining & Tunneling District Office
Site Address:
Inland Industrial Tire North, Inc.
12100 Stevens Canyon Road
Cupertino, CA 95014
Mailing Address:
30900 San Antonio St., Hayward, CA 94544
Union Status: NonUnion
SIC:
NAICS: 423130/Tire and Tube Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/06/2017
Emphasis: S:Mining
Case Closed: 12/26/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1230745 | ||
| Inspection | 1242699 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 6 | 9 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $32,510 | $0 | $0 | $7,190 | $0 | $39,700 |
| Current Penalty | $18,110 | $0 | $0 | $3,570 | $0 | $21,680 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 342(A) | 11/30/2017 | $2,750 | $5,000 | $0 | 01/12/2018 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 3203(B)(1) | 11/30/2017 | 12/19/2017 | $410 | $410 | $0 | 01/12/2018 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 3314(G) | 11/30/2017 | 12/19/2017 | $0 | $685 | $0 | 01/12/2018 | O - Administrative Law Judge Order | Citation has been deleted. |
| 4. | 01004 | Other | 3383(C) | 11/30/2017 | 12/19/2017 | $0 | $410 | $0 | 01/12/2018 | O - Administrative Law Judge Order | Citation has been deleted. |
| 5. | 01005 | Other | 6963 | 11/30/2017 | 12/19/2017 | $0 | $275 | $0 | 01/12/2018 | O - Administrative Law Judge Order | Citation has been deleted. |
| 6. | 01006 | Other | 6969(G) | 11/30/2017 | 12/19/2017 | $410 | $410 | $0 | 01/12/2018 | O - Administrative Law Judge Order | |
| 7. | 02001 | Serious | 3203(A)(4) | 11/30/2017 | 12/19/2017 | $14,400 | $14,400 | $0 | 01/12/2018 | O - Administrative Law Judge Order | |
| 8. | 03001 | Serious | 3314(C) | 11/30/2017 | 12/19/2017 | $0 | $14,400 | $0 | 01/12/2018 | O - Administrative Law Judge Order | Citation has been deleted. |
| 9. | 04001 | Serious | 3329(D) | 11/30/2017 | $3,710 | $3,710 | $0 | 01/12/2018 | O - Administrative Law Judge Order |
Investigation Summary
At 5:45 p.m. on June 17, 2017, Employee #1 was servicing a CAT 980K Front-End Loader (Equipment Number 9812) and removing a liquid-ballast adapter. The liquid-ballast adapter was filled with scalding hot water. As he worked on the liquid-ballast adapter, scalding hot water was ejected from the adapter. The scalding hot water struck his upper legs, groin and lower stomach and caused second and third degree burns. Employee #1 was transported to a medical center, where he was underwent burn treatment and was then hospitalized.
Keywords: Burn, Front End Loader, Hot Water, Leg, Torso
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1241349.015 | 53 | M | Hospitalized injury | Occupation Not Listed |
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