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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 300840154 - Brothers Deli Burlingame

Inspection Information - Office: Ca Foster City District Office


Inspection Nr: 300840154
Report ID: 0950613
Date Opened: 09/19/2003

Site Address:
Brothers Deli Burlingame
1351 Howard Street
Burlingame, CA 94010

Mailing Address:
, , 00000

Union Status: NonUnion


NAICS: 722110/Full-Service Restaurants

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/24/2004


Case Closed: 02/24/2004

Related Activity
Type Activity Nr Safety Health
Accident 101124923
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
Initial Penalty $0 $0 $0 $5,075 $0 $5,075
Current Penalty $0 $0 $0 $5,075 $0 $5,075
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 02/23/2004 02/26/2004 $5,000 $5,000 $0 03/18/2004 F - Formal Settlement  
2. 01002 Other 3273 A 02/23/2004 03/12/2004 $75 $75 $0 03/18/2004 F - Formal Settlement  

Investigation Summary

Investigation Nr: 201124757
Event: 09/15/2003
Employee Fractures Elbow In Fall

At approximately 11:30 a.m. on September 15, 2003, Employee #1 was working as a waitress at her employer's restaurant. As she was walking toward the kitchen to pick up an order, she tripped on the raised edge of the non-slip mat placed against the edge of the regular carpet. In falling, her elbow struck the edge of a nearby shelf and was fractured. Her injuries required hospitalization for extensive treatment.

Keywords:fracture, slip, tripped, elbow, work surface

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 300840154 Hospitalized injury Fracture Occupation not reported
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