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Inspection Detail
Inspection: 301582326 - Nysta Exit 33 Verona
Inspection Information - Office: Nys Dol Pesh Utica
Inspection Nr: 301582326
Report ID: 0253680
Date Opened: 08/17/2001
Site Address:
Nysta Exit 33 Verona
Exit 33 Interchange
Verona, NY 13478
Mailing Address:
Deborah Longton, Safety Director,P.O.Box 189, Albany, NY 12201
Union Status: Union
SIC:4111
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: StateGovt
Safety/Health: Safety
Close Conference: 09/05/2001
Emphasis:
Case Closed: 09/27/2001
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102153012 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 8010009 A | 09/27/2001 | 10/02/2001 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 202136024
Event: 07/22/2001
Employee fatally injured from slip and fall
On July 22, 2001, Employee #1 was working in a tollbooth when he slipped. He fell hitting his head on a surface that caused a laceration to the head. The size of the laceration was 3 in. to 4 in. long. He died from cardiovascular shock due to the large amount of blood loss.
Keywords: HEAD, SLIP, LACERATION, SLIPPERY SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 301582326 | Fatality | Other | Occupation not reported |