Inspection Detail

Inspection: 309897866 - Peterson - Dean, Inc

Inspection Information - Office: Fremont District Office

Inspection Nr: 309897866

Report ID: 0950612

Date Opened: 11/13/2006

Site Address:
Peterson - Dean, Inc
3700 Brodie Avenue
San Jose, CA 95001

Mailing Address:
7980 Enterprise Drive, Newark, CA 94560

Union Status: Union

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/03/2007

Emphasis:

Case Closed: 04/06/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	102518909

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$5,060	$0	$0	$0	$0	$5,060
Current Penalty	$0	$0	$0	$4,000	$0	$4,000
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	1513 A	02/01/2007	02/27/2007	$4,000	$5,060	$0	03/16/2007	F - Formal Settlement

Investigation Summary

Investigation Nr: 202316485

Event: 10/26/2006

Employee Falls and Is Burned in Hot Tar

On October 26, 2006 an employee of Petersen-Dean, Inc. was working on the roof of a building. The employee was carrying two 5-gallon buckets filled with hot asphalt. He tripped and fell forward over roof insulation debris and dropped the buckets down. The hot liquid asphalt splashed into his left torso, arm and face, which resulted into second degree burn. The paramedics were called,and the employee was immediately transported to Valley Medical Center in San Jose. He was hospitalized and treated for burns.

Keywords: BURN, SLIP, HOT ASPHALT, FALL, FACE, HOT TAR, WORK SURFACE, ASPHALT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	309897866			Hospitalized injury	Burn/Scald(Heat)	Occupation not reported

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