Inspection Detail

Case Status: CLOSED

Inspection: 1482177.015 - Indian Health Service/Phoenix Indian Medical Center (Pimc)

Inspection Information - Office: Phoenix Area Office

Inspection Nr: 1482177.015

Report ID: 0936400

Date Opened: 07/02/2020

Site Address:
Indian Health Service/Phoenix Indian Medical Center (Pimc)
4212 N 16th Street
Phoenix, AZ 85016

Mailing Address:
Attenl Environmental Health And Safety 4212 N 16th Street, Phoenix, AZ 85016

Union Status: Union

SIC:

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership:

Safety/Health: Health

Close Conference: 07/02/2020

Emphasis:

Case Closed: 03/22/2021

Related Activity
Type	Activity Nr	Health
Accident	1618700
Accident	1610639
Inspection	1486533	Yes

Case Status: CLOSED

Violation Summary
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

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19100132 D01 I	02/25/2021	03/05/2021	$0	$0	$0	Z - Issued
2.	01002	Serious	19100132 F01 V	02/25/2021	03/09/2021	$0	$0	$0	Z - Issued
3.	01003A	Serious	19100134 C01	02/25/2021	03/16/2021	$0	$0	$0	Z - Issued
4.	01003B	Serious	19100134 D01 II	02/25/2021		$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 127560.015

Event: 06/30/2020

Two employees with COVID-19 infection die

At 5:15 p.m. on June 30, 2020, Employee # 1 performed housekeeping duties in a hospital with known COVID-19 patients. Employee # 2 worked for the transportation department. Both Employee # 1 and Employee # 2 contracted COVID-19, and both died.

Keywords: Infectious Disease

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1482177.015	39	M	Fatality		Occupation not reported
2	1482177.015	49	M	Fatality		Housekeepers and butlers

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