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Inspection Detail
Inspection: 125719864 - Pacific Pizza Inc/Round Table Pizza
Inspection Information - Office: Modesto District Office
Site Address:
Pacific Pizza Inc/Round Table Pizza
2405 Pacific Avenue
Stockton, CA 95204
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5812
NAICS: 722211/Limited-Service Restaurants
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/18/2004
Emphasis:
Case Closed: 05/31/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362340853 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $17,500 | $0 | $0 | $0 | $0 | $17,500 |
| Current Penalty | $2,700 | $0 | $0 | $0 | $0 | $2,700 |
| 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 | Serious | 4544 B | 06/18/2004 | 05/11/2004 | $2,700 | $17,500 | $0 | 07/19/2004 | F - Formal Settlement |
Investigation Summary
At approximately 1:00 p.m. on December 21, 2003, Employee #1 was folding boxes at a pizza parlor. Since the boxes were stacked near the pizza dough roller, she asked a coworker, the pizza dough roller operator, to get some boxes down for her. As the operator turned to retrieve the boxes, Employee #1 reached into the dough roller, past the dough brake, and reached the rollers. Her right hand became caught between the rollers and she sustained degloving injuries to her right hand and forearm and was hospitalized.
Keywords: ROLLER--MACH/PART, CAUGHT BETWEEN, SKIN, ARM, HAND
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125719864 | Hospitalized injury | Bruise/Contus/Abras | Miscelaneous food preparation occupations |