Inspection Detail
Inspection: 1688326.015 - Nex Sj Llc
Inspection Information - Office: Fremont District Office
Site Address:
Nex Sj Llc
170 S. Market Street
San Jose, CA 95113
Mailing Address:
170 S. Market Street, San Jose, CA 95113
Union Status: Union
SIC:
NAICS: 721110/Hotels (except Casino Hotels) and Motels
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/24/2024
Emphasis:
Case Closed: 02/12/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 2063295 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| Current Penalty | $0 | $0 | $0 | $560 | $0 | $560 |
| 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) | 01/24/2024 | $560 | $560 | $0 | Z - Issued |
Investigation Summary
The accident occurred in a restaurant that is part of a hotel. During the incident, the employee was a server that was walking in the dining room. At 7:15 a.m. on August 3, 2023, the employee was walking from the kitchen to the hotel dining room floor and had a sudden medical event (cardiac arrest), causing a fall to the floor. The employee was transported by paramedics to the local hospital, where he was later pronounced dead. There were no observed spills or fluids within the vicinity of the employee, and there was no damage or defects to the wooden flooring on the path the employee was walking. The employee sustained a laceration to the forehead after contact with the floor/base pillar.
Keywords: Cardiac Arrest, Fall, Fall On Same Level, Food service, Forehead, Hotel, Laceration, Natural Causes, Restaurant
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1688326.015 | 80 | M | Fatality | Occupation Not Listed |
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