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Inspection Detail
Inspection: 1575931.015 - In-N-Out Burgers #118
Inspection Information - Office: American Canyon District Office
Site Address:
In-N-Out Burgers #118
2270 San Ramon Valley Blvd
San Ramon, CA 94583
Mailing Address:
4199 Campus Drive, 9th Floor, Irvine, CA 92602
Union Status: NonUnion
SIC:
NAICS: 722513
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/28/2022
Emphasis:
Case Closed: 07/18/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1861498 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| 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) | 06/28/2022 | $750 | $750 | $0 | Z - Issued |
Investigation Summary
At 1:25 p.m. on January 17, 2022, an employee was walking back towards the drive-thru pay station after throwing away a piece of trash. The employee was walking near a floor drain when her right leg slipped forward causing her to fall to the ground in an awkward position. The employee's right shoe was missing a portion of the anti-slip tread. The employee was hospitalized for treatment of a left intertrochanteric femur fracture.
Keywords: Fall, Fall On Same Level, Fracture, Hip, Leg, Slip
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1575931.015 | 17 | F | Hospitalized injury |