Inspection Detail

Inspection: 125761775 - Jamba Juice

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125761775

Report ID: 0950622

Date Opened: 03/15/2006

Site Address:
Jamba Juice
3141-H Crow Canyon Place
San Ramon, CA 94583

Mailing Address:
1700 17th Street, San Francisco, CA 94103

Union Status: NonUnion

SIC:5813

NAICS: 722410/Drinking Places (Alcoholic Beverages)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/17/2006

Emphasis:

Case Closed: 08/17/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101482503

Investigation Summary

Investigation Nr: 201488541

Event: 03/09/2006

Employee Dies from Accidental Overdose

On March 8, 2006, Employee #1 was found unconscious, lying on the floor in the toilet room of the store. There were no witnesses to the accident, but there was evidence that Employee #1 had slipped on a liquid, fell and struck his head. He was treated at Pleasant Care Medical Center for a head injury, cervical strain, and thoracic strain. No permanent disability was anticipated. Employee #1 was prescribed medication for pain. He died in his sleep at approximately 4:45 p.m. the next day, from an accidental overdose of the prescribed medication.

Keywords: HEAD, DRUG OVERDOSE, SLIP, STRUCK AGAINST, FALL, SPILL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125761775			Fatality	Poisoning(Systemic)	Cooks, except short order

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