Inspection Detail

Inspection: 314574476 - Golden Arch Enterprises Dba Mcdonalds # 29495

Inspection Information - Office: Sacramento District Office

Inspection Nr: 314574476

Report ID: 0950621

Date Opened: 11/28/2011

Site Address:
Golden Arch Enterprises Dba Mcdonalds # 29495
1720 E Main St
Woodland, CA 95776

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5812

NAICS: 722110/Full-Service Restaurants

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/14/2011

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 08/22/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	102680550

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$840	$0	$840
Current Penalty	$0	$0	$0	$400	$0	$400
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	25000025	12/14/2011	12/19/2011	$200	$420	$0	12/28/2011	F - Formal Settlement
2.	01002	Other	3203 A	12/14/2011	12/19/2011	$200	$420	$0	12/28/2011	F - Formal Settlement

Investigation Summary

Investigation Nr: 170627962

Event: 11/14/2011

Employee Suffers Electrical Burn from Machine

On November 14, 2011, Employee #1 was working near a food-warming machine, when he came in contact with exposed electrical wires from the machine's flexible cord. He heard a loud 'pop' and felt immediate pain in his right upper leg. Emergency medical personnel were summoned. They arrived and administered medical treatment to his electrical burn. He refused to be transmitted via an ambulance, but decided to drive himself to a local hospital emergency room. Employee #1 was treated for a minor burn, provided with an ointment and released within a couple of hours. He returned to his normal and customary occupation three days later without permanent impairment.

Keywords: BURN, METAL WIRE, THIGH, ELECTRIC SHOCK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314574476			Non Hospitalized injury	Electric Shock	Occupation not reported

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