Inspection Detail

Inspection: 314147570 - Kaiser Permanente

Inspection Information - Office: Fremont District Office

Inspection Nr: 314147570

Report ID: 0950612

Date Opened: 07/07/2010

Site Address:
Kaiser Permanente
5755 Cottle Road
San Jose, CA 95112

Mailing Address:
275 Hospital Parkway, Suite 835, San Jose, CA 95119

Union Status: Union

SIC:8062

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/27/2010

Emphasis:

Case Closed: 11/06/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	102678299

Violation Summary
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

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	23200002 A03	10/20/2010	11/12/2010	$750	$750	$0		-

Investigation Summary

Investigation Nr: 202612180

Event: 06/25/2010

Employee Contacts Energized Part and Burns Hand

At approximately 2:00 p.m. on June 25, 2010, Employee #1 and a coworker were troubleshooting a malfunctioning refrigeration unit (Chiller Pad Number 1). Employee #1 opened the double door electrical panel of the unit to assess the issue. He turned around to speak with the coworker, and then turned back to face the open panel, when he either lost his balance, or his right ankle gave out. To stabilize himself, he extended his right bare hand and contacted a 480 V energized part of the equipment and received second and third degree burns on his hand. The coworker turned off the power to the unit. Emergency medical services were summoned and transported him to a medical center where he was treated and released the same day.

Keywords: BURN, PANEL, PANELBOARD, STRUCK AGAINST, LOST BALANCE, HAND, ELEC EQUIPMENT--MISC

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314147570			Non Hospitalized injury	Burn/Scald(Heat)	Stationary engineers

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