Inspection Detail

Inspection: 125621524 - Stone Tree Golf Club

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125621524

Report ID: 0950615

Date Opened: 03/16/2001

Site Address:
Stone Tree Golf Club
#9 Stone Tree Lane
Novato, CA 94945

Mailing Address:
P.O. Box 725, Novato, CA 94948

Union Status: NonUnion

SIC:7992

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/21/2001

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 04/24/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	361595341

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations	1			3		4
Initial Penalty	$16,200	$0	$0	$1,250	$0	$17,450
Current Penalty	$16,200	$0	$0	$620	$0	$16,820
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
1.	01001	Other	5162 A	03/21/2001	03/30/2001	$250	$500	$0	04/13/2001	F - Formal Settlement
2.	01002	Other	3381 A	03/21/2001	03/30/2001	$185	$375	$0	04/13/2001	F - Formal Settlement
3.	01003	Other	3203 B02	03/21/2001	04/23/2001	$185	$375	$0	04/13/2001	F - Formal Settlement
4.	02001	Serious	3653 A	03/21/2001	04/23/2001	$16,200	$16,200	$0	04/13/2001	F - Formal Settlement

Investigation Summary

Investigation Nr: 170841548

Event: 03/15/2001

Employee Killed When Tractor Rolled Over

Employee #1 was blowing grass clippings from the south edge of the thirteenth green. Employee #1 was proceeding west along the edge of the green where it started to slope steeply to the south, down the hillside. Employee #1 was using a John Deere F-1145 Prime Mover (Number MO1145X186284K) with PTO driven, front-mounted Agrimetal Inc. Model BW240 thatch blower. The tractor was equipped with ROPS and seat belts, but Employee #1 was not wearing the seat belts provided. Employee #1 rolled the tractor and blower over approximately four times down the hillside, ending up under the blower. Employee #1 suffered a fractured pelvis, severed arteries and internal injuries. Employee #1 was hospitalized and died on April 9, 2001, as a result of complications from his initial injury.

Keywords: SEVERED, FRACTURE, PINNED, PELVIS, TRACTOR, ARTERY, SLOPE, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125621524			Fatality	Fracture	Groundskeepers and gardeners, except farm

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