Inspection Detail

Inspection: 125480244 - Gordon Drake Dba Wood Duck Building

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125480244

Report ID: 0950615

Date Opened: 09/18/2007

Site Address:
Gordon Drake Dba Wood Duck Building
35 Sirard Lane
San Rafael, CA 94901

Mailing Address:
20 Glen Avenue, San Rafael, CA 94901

Union Status: NonUnion

SIC:1521

NAICS: 236118/Residential Remodelers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/03/2007

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 12/18/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101024461

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$5,050	$0	$5,050
Current Penalty	$0	$0	$0	$150	$0	$150
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	4300 A	10/12/2007	10/17/2007	$50	$50	$0		-
2.	01002	Other	342 A	10/12/2007	10/17/2007	$100	$5,000	$0	10/26/2007	F - Formal Settlement

Investigation Summary

Investigation Nr: 170765598

Event: 09/05/2007

Employee's thumb amputated on table saw

At approximately 2:00 p.m. on September 5, 2007, Employee #1 was using a Bosch 4000 table saw, serial #583231817, to cut an 8 in. square piece of wood at a single-family home undergoing renovations. The wood kicked back, resulting in the amputation of his right thumb and the tip of his index finger. Employee #1 was transported to Marin General Hospital, where he was admitted for treatment. The saw's guard was not in place at the time of the accident.

Keywords: KICK BACK, AMPUTATED, WORK RULES, CONSTRUCTION, THUMB, UNGUARDED, TABLE SAW

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125480244			Hospitalized injury	Amputation	Carpenters

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