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Inspection Detail
Inspection: 1486311.015 - Valledor Holding, Inc.
Inspection Information - Office: Fremont District Office
Site Address:
Valledor Holding, Inc.
1222 Pacific Ave.
Santa Cruz, CA 95060
Mailing Address:
7561 Sunset Wy., Aptos, CA 95003
Union Status: NonUnion
SIC:
NAICS: 722511
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/15/2020
Emphasis:
Case Closed: 01/31/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1635939 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $22,050 | $0 | $0 | $650 | $0 | $22,700 |
| Current Penalty | $16,200 | $0 | $0 | $300 | $0 | $16,500 |
| 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) | 12/16/2020 | $300 | $650 | $0 | 12/31/2020 | O - Administrative Law Judge Order | ||
| 2. | 02001 | Serious | 3203(A)(7) | 12/16/2020 | $1,800 | $5,850 | $0 | 12/31/2020 | O - Administrative Law Judge Order | ||
| 3. | 03001 | Serious | 4554(C) | 12/16/2020 | $14,400 | $16,200 | $0 | 12/31/2020 | O - Administrative Law Judge Order |
Investigation Summary
At approximately 11:02 a.m. on July 31, 2020, an employee was making hamburgers with a Patty-O-Matic, model 330A, machine. While making the hamburgers, for some reason, the employee placed his hand under the guard. The moving mold for the hamburger moved back into the machine, catching and amputating the tops of the employee's left ring and middle fingers. The employee sustained an amputation to the left middle and ring fingers from under the nail down to the first knuckle and was treated at Santa Clara Valley Medical Center but was not hospitalized. At approximately 03:10 p.m. on July 31, 2020, DOSH was notified of the incident and arrived on site on August 3, 2020.
Keywords: Amputation, Caught In, Finger, Fingertip, Food Preparation, Molding Machine, Partial Amputation
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1486311.015 | 31 | M | Non Hospitalized injury | Cooks, except short order |