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Inspection Detail

Case Status: CLOSED

Inspection: 1570764.015 - Shaw'S #3483

Inspection Information - Office: Concord Area Office

 

Inspection Nr: 1570764.015
Report ID: 0111700
Date Opened: 12/27/2021

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

Related Activity
Type Activity Nr Safety Health
Accident 1846626
Referral 1872990 Yes
Referral 1872751 Yes
Case Status: CLOSED

Investigation Summary

Investigation Nr: 142410.015
Event: 12/23/2021
Employee with COVID-19 infection dies

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1570764.015 45 M Fatality
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