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Inspection Detail
Inspection: 1372134.015 - Faith Regional Health Services
Inspection Information - Office: Omaha Area Office
Site Address:
Faith Regional Health Services
2700 Norfolk Avenue
Norfolk, NE 68701
Mailing Address:
2700 Norfolk Avenue, Norfolk, NE 68701
Union Status: NonUnion
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/18/2019
Emphasis:
Case Closed: 07/08/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1416104 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $6,440 | $0 | $0 | $8,051 | $0 | $14,491 |
| Current Penalty | $3,864 | $0 | $0 | $4,831 | $0 | $8,695 |
| 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. | 01001 | Serious | 19100022 A03 | 03/28/2019 | 04/09/2019 | $3,864 | $6,440 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19040039 A02 | 03/28/2019 | 04/09/2019 | $4,831 | $8,051 | $0 | I - Informal Settlement |
Investigation Summary
At 5:00 p.m. on December 27, 2018, an employee was walking to her car from the hospital when she slipped and fell on the icy parking lot. The employee struck her head against the parking lot surface and sustained a concussion. The employee was hospitalized.
Keywords: Concussion, Fall, Head, Slip, Slippery Surface, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1372134.015 | 44 | F | Hospitalized injury | Technicians, n.e.c. |