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Inspection Detail
Inspection: 1412818.015 - Mercyone Waterloo
Inspection Information - Office: Iowa 0751910
Site Address:
Mercyone Waterloo
3421 W 9th St
Waterloo, IA 50702
Mailing Address:
3421 W 9th St, Waterloo, IA 50702
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: 07/01/2019
Emphasis:
Case Closed: 11/25/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1468536 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $8,524 | $0 | $0 | $0 | $0 | $8,524 |
| Current Penalty | $0 | $0 | $0 | $10,000 | $0 | $10,000 |
| 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. | 01001A | Serious | 19100332 B01 | 09/05/2019 | 10/22/2019 | $0 | $8,524 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01001B | Other | 19100333 A01 | 09/05/2019 | 10/22/2019 | $10,000 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 8:00 a.m. on June 24, 2019, an employee was standing on an 8 foot self supporting ladder removing existing 2 foot by 2 foot florescent lights and replacing them with Columbia LCAT22 LED contemporary lights. The employee received an electric shock caused him to fall from an 8 foot self supporting ladder. The employee struck his head on a table during the fall incurring a concussion and requiring hospitalization.
Keywords: Abrasion, Back, Concussion, Contusion, Electric Shock, Electric current, Electrical, Energized, Fall, Fracture, Head, Installing, Ladder, Lighting Fixture, Lockout, Lockout/Tagout
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1412818.015 | 30 | M | Hospitalized injury | Electricians |