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Inspection Detail

Case Status: CLOSED

Inspection: 1404685.015 - Steward Holy Family Hospital, Inc.

Inspection Information - Office: Boston North Area Office

 

Inspection Nr: 1404685.015
Report ID: 0134000
Date Opened: 05/24/2019

Site Address:
Steward Holy Family Hospital, Inc.
140 Lincoln Ave.
Haverhill, MA 01830

Mailing Address:
70 East Street, Methuen, MA 01844

Union Status: Union

SIC:

NAICS: 622110/General Medical and Surgical Hospitals


Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/24/2019

Emphasis: L:Eisaof

Case Closed: 03/24/2020


Related Activity
Type Activity Nr Safety Health
Referral 1456720 Yes
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations
Initial Penalty $0 $0 $0 $11,367 $0 $11,367
Current Penalty $0 $0 $0 $0 $0 $0
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Other 19040029 B01 06/17/2019 08/02/2019 $0 $1,895 $0 07/12/2019 F - Formal Settlement Citation has been deleted.
2. 01002 Other 19040039 A02 06/17/2019 08/02/2019 $0 $9,472 $0 07/12/2019 F - Formal Settlement Citation has been deleted.

Investigation Summary

Investigation Nr: 116688.015
Event: 05/17/2019
Employee fractures knee and dislocates shoulder in trip and

At 5:15 p.m. on May 17, 2019, an employee was organizing medication in the medication room when she tripped on the electric cord to the cart and fell to the floor. The employee was hospitalized with a fractured knee and dislocated shoulder.

Keywords: Cart, Dislocated, Electric Cord, Fall, Fracture, Knee, Medication, Shoulder, Tripped

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1404685.015 67 F Hospitalized injury Nursing aides, orderlies, and attendants
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