Translate
Inspection Detail
Inspection: 308718261 - Artic Falls Spring Water Inc.
Inspection Information - Office: Parsippany Area Office
Inspection Nr: 308718261
Report ID: 0214200
Date Opened: 05/16/2005
Site Address:
Artic Falls Spring Water Inc.
58 Sand Park Road
Cedar Grove, NJ 07009
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5499
NAICS: 445299/All Other Specialty Food Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/29/2005
Emphasis:
Case Closed: 11/16/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100022003 | ||
| Referral | 202420824 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Other | 19100178 L03 | 09/30/2005 | 10/27/2005 | $0 | $0 | $0 | - | ||
| 2. | 01001B | Other | 19100178 L06 | 09/30/2005 | 11/18/2005 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 200023067
Event: 05/15/2005
Employee Is Killed in Fall from Ladder
On May 15, 2005, Employee #1 fell backwards from a 4-ft ladder. He struck his head on the floor and was killed.
Keywords: HEAD, LADDER, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308718261 | Fatality | Other | Occupation not reported |