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Inspection Detail
Inspection: 1641677.015 - 153353 - Rb Winston Salem Llc
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
153353 - Rb Winston Salem Llc
425 Cherry Street North
Winston Salem, NC 27101
Mailing Address:
425 Cherry Street North, Winston Salem, NC 27101
Union Status: NonUnion
SIC:7011
NAICS: 721110/Hotels (except Casino Hotels) and Motels
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 04/14/2023
Emphasis:
Case Closed: 05/08/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1983410 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $4,000 | $0 | $4,000 |
| Current Penalty | $0 | $0 | $0 | $4,000 | $0 | $4,000 |
| 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 | 19040039 A02 | 04/14/2023 | 04/18/2023 | $4,000 | $4,000 | $0 | Z - Issued |
Investigation Summary
At 10:5 p.m. on December 31, 2022, an employee was clocking in at the time clock when she turned and tripped and fell and suffered an arm injury. The employee was transported to a local medical center via ambulance at her request. The employee died on January 3, 2023, at the medical center.
Keywords: Arm, Blunt force, Blunt force trauma, Fall, Fall On Same Level, Tripped
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1641677.015 | 57 | F | Fatality | Occupation not reported |