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Accident Summary Nr: 139559.015 - Employee dies following building fire

Accident Summary Nr: 139559.015 -- Report ID: 0215000 -- Event Date: 09/07/2021
Inspection NrDate OpenedSICNAICSEstablishment Name
1554913.01509/29/2021445110Kiwi Grocery 2 Corp.

Abstract: Around 6:45 a.m. on September 7, 2021, Employee #1 and a coworker were preparing to open a general deli and grocery store for the day. Employee #1 was the store owner, and the coworker was his son. They were in the basement when a fire started on the first floor. The cause of the fire was undetermined. Employee #1 was transported to the hospital on the day of the fire and was pronounced dead several days later. He died of respiratory failure and hypoxia due to smoke inhalation.

Keywords: Building, Fire, Respiratory, Smoke, Smoke Inhalation

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation
1 1554913.015 58 M Fatality Cooks, except short order

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