Inspection Detail
Inspection: 302535497 - Ames Department Store
Inspection Information - Office: Concord Area Office
Site Address:
Ames Department Store
55 Crystal Ave.
Derry, NH 03038
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5311
NAICS: 0
Inspection Type: Unprog Rel
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 09/01/1999
Emphasis: L:Fall
Case Closed: 04/12/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 200611614 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| Current Penalty | $2,250 | $0 | $0 | $0 | $0 | $2,250 |
| 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 | Serious | 19100025 D01 X | 01/03/2000 | 01/13/2000 | $1,000 | $2,000 | $0 | 01/31/2000 | F - Formal Settlement | |
| 2. | 01002 | Serious | 19100025 D02 I | 01/03/2000 | 01/06/2000 | $1,250 | $2,500 | $0 | 01/31/2000 | F - Formal Settlement |
Investigation Summary
Employee #1 was standing on a ladder that was leaning against a rack system when the ladder slipped out. As he fell, his arm struck against the adjacent rack system. Employee #1 sustained a deep laceration to the bone, for which he was hospitalized.
Keywords: UNSECURED, WORK RULES, LADDER, SLIP, STRUCK AGAINST, LACERATION, FALL, ARM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 302535497 | Hospitalized injury | Cut/Laceration | Occupation not reported |
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