Translate
Inspection Detail
Case Status: CLOSED
Inspection: 1453153.015 - Tn Veteran'S Home - Clarksville
Inspection Information - Office: Tennessee Osha Jackson Office - Public Sector
Inspection Nr: 1453153.015
Report ID: 0454735
Date Opened: 12/13/2019
Site Address:
Tn Veteran'S Home - Clarksville
250 Arrowood Dr
Clarksville, TN 37042
Mailing Address:
Po Box 11382, Murfreesboro, TN 37129
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: StateGovt
Safety/Health: Safety
Close Conference: 12/16/2019
Emphasis: S:Fall
Case Closed: 02/26/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1525656 | Yes |
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 | Serious | 19100023 C08 | 01/28/2020 | 02/27/2020 | $0 | $0 | $0 | Z - Issued | ||
| 2. | 01002 | Serious | 19100333 B02 I | 01/28/2020 | 02/27/2020 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01003 | Serious | 19100333 B02 III A | 01/28/2020 | 02/27/2020 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 122808.015
Event: 12/11/2019
Employee is injured in fall from stepladder
At 11:00 a.m. on December 11, 2019, an employee was replacing a light fixture. The employee was shocked, resulting in a fall from the stepladder. The employee was hospitalized.
Keywords: Electric Shock, Electrical Wire, Fall, Fall From Elevation, Lighting Fixture, Stepladder
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1453153.015 | 39 | M | Hospitalized injury | Electrical and electronic technicians |