Inspection Detail

Inspection: 315828376 - Dairymen'S Feed & Supply Co-Op

Inspection Information - Office: American Canyon District Office

Inspection Nr: 315828376

Report ID: 0950615

Date Opened: 04/10/2012

Site Address:
Dairymen'S Feed & Supply Co-Op
2400 Fallon Road
Petaluma, CA 94952

Mailing Address:
323 E Washington St, Petaluma, CA 94952

Union Status: Union

SIC:5191

NAICS: 424910/Farm Supplies Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/14/2012

Emphasis:

Case Closed: 07/07/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	102650462

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				3		3
Current Violations				3		3
Initial Penalty	$0	$0	$0	$510	$0	$510
Current Penalty	$0	$0	$0	$170	$0	$170
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Other	3203 A03	06/14/2012	06/19/2012	$0	$170	$0	I - Informal Settlement
2.	01002	Other	3203 A04	06/14/2012	06/19/2012	$170	$170	$0	I - Informal Settlement
3.	01003	Other	3203 A06	06/14/2012	06/19/2012	$0	$170	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 201024080

Event: 04/06/2012

Employee Falls from Fixed Ladder and Is Injured

At approximately 12:00 p.m. on April 6, 2012, Employee #1 was occupying a fixed ladder that was attached to a feed tank. The feed tank was located on a poultry farm and its fixed ladder was approximately 16 ft high. As he was on the ladder, he lost his balance and fell approximately 10 ft. Employee #1 sustained unspecified injuries in the fall. He was transported to a medical center. At the medical center, Employee #1 underwent treatment and was hospitalized for postoperative care.

Keywords: STORAGE TANK, FIXED LADDER, FALL, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315828376			Hospitalized injury	Fracture	Truck drivers, heavy

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