Inspection Detail

Inspection: 125523860 - Trade Mark Coffee

Inspection Information - Office: Foster City District Office

Inspection Nr: 125523860

Report ID: 0950613

Date Opened: 12/19/2000

Site Address:
Trade Mark Coffee
1524 Rollins Road
Burlingame, CA 94010

Mailing Address:
1300 S. Grove Ave. #104, Barrington, IL 60010

Union Status: NonUnion

SIC:2095

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/13/2001

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/28/2002

Related Activity
Type	Activity Nr	Safety	Health
Accident	101121374

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$12,600	$0	$0	$1,050	$0	$13,650
Current Penalty	$12,600	$0	$0	$700	$0	$13,300
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Other	342 A	06/14/2001	06/19/2001	$350	$350	$0	07/12/2001	F - Formal Settlement
2.	01002	Other	3314 G	06/14/2001	07/17/2001	$350	$700	$0	07/12/2001	F - Formal Settlement
3.	02001	Serious	3314 A	06/14/2001	06/19/2001	$12,600	$12,600	$0	07/12/2001	F - Formal Settlement

Investigation Summary

Investigation Nr: 201123122

Event: 12/15/2000

Employee Suffers Amputation

Employee #1 was helping a mechanic repair a coffee packaging machine. Employee #1 was holding a part while the machine was operating. The moving parts caught his glove and pulled it in, crushing three fingers. Employee #1 suffered amputation injuries and was hospitalized.

Keywords: AMPUTATED, REPAIR, FINGER, GLOVE, CRUSHED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125523860			Hospitalized injury	Amputation	Occupation not reported

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