Inspection Detail

Inspection: 300754140 - James D. Carlsen Dba Carlsen And Associates

Inspection Information - Office: American Canyon District Office

Inspection Nr: 300754140

Report ID: 0950615

Date Opened: 09/21/2011

Site Address:
James D. Carlsen Dba Carlsen And Associates
1439 Grove Street
Healdsburg, CA 95448

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3499

NAICS: 332999/All Other Miscellaneous Fabricated Metal Product Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/09/2011

Emphasis:

Case Closed: 12/07/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	102649258

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$10,800	$0	$0	$5,000	$0	$15,800
Current Penalty	$2,300	$0	$0	$2,300	$0	$4,600
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	342 A	12/13/2011	12/16/2011	$2,300	$5,000	$0	12/29/2011	F - Formal Settlement
2.	02001	Serious	3203 A	12/13/2011	12/16/2011	$2,300	$10,800	$0	12/29/2011	F - Formal Settlement

Investigation Summary

Investigation Nr: 201023546

Event: 09/19/2011

Employee Is Burned When Gun Powder Explodes

On September 19, 2011, Employee #1 was working for a business in Healdsburg, CA that fabricated metal fixtures, primarily for the wine industry. At approximately 9:30 a.m., Employee #1 was welding a work piece on a table top, and a canister of gunpowder under the work table presumably exploded. Employee #1 was sent to the St Francis Burn Center and hospitalized for treatment of first, second, and third degree burns. The employer notified the Santa Rosa District Office about the injury at approximately 8:50 a.m. on September 21, 2011.

Keywords: BURN, EXPLOSIVES, FIRE, WELDING, EXPLOSION, SKIN, POWDER, HIGH TEMPERATURE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300754140			Hospitalized injury	Burn/Scald(Heat)	Welders and cutters

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