Inspection Detail
Inspection: 1063712.015 - Wa317936483 - Lake Forest Bar & Grill Llc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Site Address:
Wa317936483 - Lake Forest Bar & Grill Llc
17535 Ballinger Way Ne
Lake Forest Park, WA 98155
Mailing Address:
17535 Ballinger Way Ne, Lake Forest Park, WA 98155
Union Status: NonUnion
SIC:
NAICS: 722110/Full-Service Restaurants
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/09/2015
Emphasis:
Case Closed: 10/21/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 984953 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 6 | |||
| Current Violations | 4 | 2 | 6 | |||
| Initial Penalty | $7,200 | $0 | $0 | $0 | $0 | $7,200 |
| Current Penalty | $5,760 | $0 | $0 | $0 | $0 | $5,760 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 296-901-14012(6) | 06/18/2015 | 06/03/2015 | $1,800 | $2,250 | $0 | 07/09/2015 | C - Contested | |
| 2. | 01002 | Serious | 296-901-14016(3) | 06/18/2015 | 07/05/2015 | $1,800 | $2,250 | $0 | 07/09/2015 | C - Contested | |
| 3. | 01003 | Serious | 296-800-15030 | 06/18/2015 | 07/21/2015 | $1,800 | $2,250 | $0 | 07/09/2015 | C - Contested | |
| 4. | 01004 | Serious | 296-800-16050 | 06/18/2015 | 06/03/2015 | $360 | $450 | $0 | 07/09/2015 | C - Contested | |
| 5. | 02001 | Other | 296-800-16010 | 06/18/2015 | 07/05/2015 | $0 | $0 | $0 | 07/09/2015 | C - Contested | |
| 6. | 02002 | Other | 296-800-13020(1) | 06/18/2015 | 07/05/2015 | $0 | $0 | $0 | 07/09/2015 | C - Contested |
Investigation Summary
At 9:00 a.m. on May 8, 2015, an employee who works in the kitchen drank detergent from an unlabeled bottle. The bottle contained Swisher Multi-temp detergent with a pH content of 14.
Keywords: Chemical, Detergent, Poisoning
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1063712.015 | 35 | M | Hospitalized injury | Occupation not reported |
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