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Inspection Detail
Inspection: 1369164.015 - Samuel Hale, Llc
Inspection Information - Office: Oakland District Office
Site Address:
Samuel Hale, Llc
14054 Catalina Street
San Leandro, CA 94577
Mailing Address:
2365 Iron Point Road Suite 190, Folsom, CA 95630
Union Status: NonUnion
SIC:
NAICS: 311412/Frozen Specialty Food Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/31/2019
Emphasis:
Case Closed: 09/02/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1410985 | ||
| Inspection | 1369171 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,125 | $0 | $1,125 |
| Current Penalty | $0 | $0 | $0 | $1,125 | $0 | $1,125 |
| 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 | 3203(A)(4) | 06/05/2019 | $1,125 | $1,125 | $0 | Z - Issued |
Investigation Summary
At 5:10 a.m. on December 18, 2018, Employee #1 was collecting excess dough balls from the CH-BABB dough sheeting machine, that were to be placed back in the mixer. After collecting the dough balls at the end of the conveyor, he went up the ladder to collect more excess dough balls that were caught in the chute. The employee fell from the ladder onto the conveyor and sustained trauma to his forearm, but no fractures.
Keywords: Conveyor, Fall, Forearm, Ladder, Mixer
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1369164.015 | 20 | M | Non Hospitalized injury | Machine operators, not specified |