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Inspection Detail
Case Status: CLOSED
Inspection: 1290176.015 - Massena Memorial Hospital
Inspection Information - Office: Nys Dol Pesh Utica
Inspection Nr: 1290176.015
Report ID: 0253680
Date Opened: 01/25/2018
Site Address:
Massena Memorial Hospital
1 Hospital Drive
Massena, NY 13662
Mailing Address:
1 Hospital Drive, Massena, NY 13662
Union Status: Union
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 03/09/2018
Emphasis: S:Hh
Case Closed: 09/17/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1302839 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| 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 | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 12 NYCRR PART 801.29(A) | 07/18/2018 | 09/04/2018 | $0 | $0 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 12 NYCRR PART 801.29(B) | 07/18/2018 | 09/04/2018 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01003 | Other | 12 NYCRR PART 801.39(A) | 07/18/2018 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 102521.015
Event: 01/18/2018
Storeroom clerk collapses and later dies
At 9:00 a.m. on January 18, 2019, an employee, storeroom clerk, was found unresponsive in the doorway of a storage room. He collapsed and died.
Keywords: Collapse
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1290176.015 | 52 | M | Fatality | Stock and inventory clerks |