Inspection Detail

Case Status: CLOSED

Inspection: 1552563.015 - Demoulas Super Markets, Inc.

Inspection Information - Office: Boston North Area Office

Inspection Nr: 1552563.015

Report ID: 0134000

Date Opened: 09/13/2021

Site Address:
Demoulas Super Markets, Inc.
340 Ballardvale Street
Andover, MA 01810

Mailing Address:
875 East Street, Tewksbury, MA 01876

Union Status: NonUnion

SIC:

NAICS: 493190/Other Warehousing and Storage

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/13/2021

Emphasis: N:Amputate, L:Forklift

Case Closed: 02/23/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1810067	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$13,653	$0	$0	$0	$0	$13,653
Current Penalty	$0	$0	$0	$6,800	$0	$6,800
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	19100147 C07 I A	12/01/2021	01/20/2022	$6,800	$13,653	$0	12/22/2021	F - Formal Settlement

Investigation Summary

Investigation Nr: 139029.015

Event: 09/13/2021

Employee sustains head trauma when struck by falling PIV car

At 6:45 a.m. on September 13, 2021, an employee working for a warehousing and storage facility was attempting to fix a powered industrial vehicle (PIV). The mast and carriage on the PIV were stuck in the elevated position. The employee removed the bolts from the mast and carriage at which time the carriage fell on the employee's head. The employee received medical treatment without hospitalization for a laceration to his head.

Keywords: Concussion, Falling Object, Head, Hoist, Hoisting Mechanism, Industrial Truck, Laceration, Lack of Work Procedures, Lockout, Lockout/Tagout, Malfunction, Mast, Mech Malfunction, Motor Vehicle, PIV, Powered Industrial Vehicle, Repair, Struck By, Unsecured, Warehouse

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1552563.015	35	M	Non Hospitalized injury

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.