Inspection Detail

Inspection: 125532820 - Lombardi'S Petaluma French Bakery

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125532820

Report ID: 0950615

Date Opened: 07/21/2005

Site Address:
Lombardi'S Petaluma French Bakery
389 Petaluma Blvd. North
Petaluma, CA 94952

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5461

NAICS: 311811/Retail Bakeries

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/27/2005

Emphasis:

Case Closed: 04/24/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	361603210

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$225	$0	$225
Current Penalty	$0	$0	$0	$225	$0	$225
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	Contest	Latest Event	Note
1.	01001	Other	3203 B	08/02/2005	09/04/2005	$225	$225	$0		-

Investigation Summary

Investigation Nr: 201020518

Event: 07/20/2005

Two Employees Are Injured When Equipment Falls on Them

At approximately 3:15 p.m. on July 20, 2005, Employee #1 was cutting a portion of a dough mass loaded on a dough truck. The truck was raised on the lift arms of a dough lift, 1982 De Ridder, about 7 feet from the floor. He opened the trap door underneath the truck to let the dough flow out. He caught the flowing dough with his hands and yanked it in an attempt to cut it off from the rest of the mass. As he did this, the truck was pulled with the dough, slipped off the lift arms and fell to the floor. On its way down, it hit Employee #1 on the back and Employee #2, who was standing nearby, on the head and shoulder. Both employees received cuts, but were not hospitalized.

Keywords: HEAD, FOOD PREPARATION, BACK, LACERATION, BALER, MANUAL MAT HANDLING, STRUCK BY, FALLING OBJECT, CONTUSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125532820			Non Hospitalized injury	Cut/Laceration	Bakers
2	125532820			Non Hospitalized injury	Bruise/Contus/Abras	Bakers

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