Inspection Detail

Case Status: CLOSED

Inspection: 1516739.015 - U.S. Dept Of Veterans Affairs

Inspection Information - Office: Phoenix Area Office

Inspection Nr: 1516739.015

Report ID: 0936400

Date Opened: 02/26/2021

Site Address:
U.S. Dept Of Veterans Affairs
3285 S Val Vista Drive
Gilbert, AZ 85297

Mailing Address:
650 E Indian School Rd Attn: Andra Denhartog, Pvahcs Safety Manager, Phoenix, AZ 85012

Union Status: Union

SIC:

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership:

Safety/Health: Health

Close Conference: 02/26/2021

Emphasis:

Case Closed: 12/07/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1735319

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			2		4
Current Violations	2			2		4
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	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19100134 D01 II	07/20/2021	08/20/2021	$0	$0	$0	Z - Issued
2.	01002	Serious	19100134 G01 II	07/20/2021	09/20/2021	$0	$0	$0	Z - Issued
3.	02001	Other	19100134 E06 I A	07/20/2021	09/01/2021	$0	$0	$0	Z - Issued
4.	02002	Other	19030019 C01	11/09/2021	12/29/2021	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 133645.015

Event: 02/05/2021

Employee with COVID-19 infection dies

At approximately 12:00 p.m. on February 5, 2021, an employee provided care to patients. The employee contracted COVID-19 and later died from complications from the virus.

Keywords: Infectious Disease

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1516739.015	61	M	Fatality

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