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Inspection Detail
Inspection: 1552563.015 - Demoulas Super Markets, Inc.
Inspection Information - Office: Boston North Area Office
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1810067 | Yes |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1552563.015 | 35 | M | Non Hospitalized injury |