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Inspection Detail
Inspection: 1570764.015 - Shaw'S #3483
Inspection Information - Office: Concord Area Office
Site Address:
Shaw'S #3483
55 Crystal Avenue
Derry, NH 03038
Mailing Address:
55 Crystal Avenue, Derry, NH 03038
Union Status: NonUnion
SIC:
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/03/2022
Emphasis: N:Covid-19
Case Closed: 06/30/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1846626 | ||
| Referral | 1872990 | Yes | |
| Referral | 1872751 | Yes |
Investigation Summary
At 8:00 a.m. on December 23, 2021, an employee who had worked at a Supermarket died due to complications from COVID-19. He had been working at the seafood counter when he began to experience COVID-19 related symptoms and called off work.The employee last worked at the facility on November 29, 2021, and tested positive for COVID-19 on December 1, 2021.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1570764.015 | 45 | M | Fatality |