Inspection Detail

Inspection: 125714840 - Cold Stone Creamery

Inspection Information - Office: Sacramento District Office

Inspection Nr: 125714840

Report ID: 0950621

Date Opened: 09/28/2004

Site Address:
Cold Stone Creamery
4001 Woodcreek Oaks Blvd #130
Roseville, CA 95678

Mailing Address:
12409 Alta Mesa, Auburn, CA 95603

Union Status: NonUnion

SIC:5451

NAICS: 445299/All Other Specialty Food Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/19/2005

Emphasis:

Case Closed: 04/20/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101170389

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$755	$0	$755
Current Penalty	$0	$0	$0	$150	$0	$150
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	Note
1.	01001	Other	3203 A	01/26/2005	02/28/2005	$150	$190	$0	03/04/2005	J - ALJ Decision
2.	01002	Other	3273 A	01/26/2005	02/28/2005	$0	$565	$0	03/04/2005	J - ALJ Decision

Investigation Summary

Investigation Nr: 201176468

Event: 09/18/2004

Employee is injured when he slips on a wet tile floor

On September 18, 2004, Employee #1 was taking out trash and slipped on section of wet tile floor. He sustained a contusion to his head and a minor injury to his right elbow.

Keywords: HEAD, FOOD PREPARATION, SLIP, FALL, SLIPPERY SURFACE, ELBOW, LOST BALANCE, WORK SURFACE, CONTUSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125714840			Non Hospitalized injury	Bruise/Contus/Abras	Miscelaneous food preparation occupations

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