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Inspection Detail
Inspection: 312787740 - Forrest Kenton Busch Dba Urgent Care Clinic
Inspection Information - Office: Tennessee Osha Jackson Office - Health
Inspection Nr: 312787740
Report ID: 0454725
Date Opened: 12/18/2008
Site Address:
Forrest Kenton Busch Dba Urgent Care Clinic
1950 Cook Street
Dyersburg, TN 38024
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8011
NAICS: 621111/Offices of Physicians (except Mental Health Specialists)
Inspection Type: Planned
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/12/2009
Planning Guide: Health-Manufacturing
Emphasis:
Case Closed: 03/24/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 207065095 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $4,000 | $0 | $0 | $150 | $0 | $4,150 |
| Current Penalty | $3,000 | $0 | $0 | $113 | $0 | $3,113 |
| 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. | 01001A | Serious | 19101030 C01 IVB | 02/17/2009 | 03/24/2009 | $3,000 | $4,000 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19101030 C01 V | 02/17/2009 | 03/24/2009 | $0 | $0 | $0 | - | ||
| 3. | 01001C | Serious | 19101030 C02 IA | 02/17/2009 | 03/24/2009 | $0 | $0 | $0 | - | ||
| 4. | 01001D | Serious | 19101030 D02 I | 02/17/2009 | 03/24/2009 | $0 | $0 | $0 | - | ||
| 5. | 01001E | Serious | 19101030 D02 X | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - | ||
| 6. | 01001F | Serious | 19101030 D03 I | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - | ||
| 7. | 01001G | Serious | 19101030 D04 I | 02/17/2009 | 03/24/2009 | $0 | $0 | $0 | - | ||
| 8. | 01001H | Serious | 19101030 D04 IIE | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - | ||
| 9. | 01001I | Serious | 19101030 F01 IID | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - | ||
| 10. | 01001J | Serious | 19101030 G01 IA | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - | ||
| 11. | 02001A | Other | 19101200 F05 I | 02/17/2009 | 02/23/2009 | $113 | $150 | $0 | I - Informal Settlement | ||
| 12. | 02001B | Other | 19101200 F05 II | 02/17/2009 | 02/23/2009 | $0 | $0 | $0 | - |