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Inspection Detail
Inspection: 314041492 - Capri Restaurant & Pizza
Inspection Information - Office: Naperville Area Office
Site Address:
Capri Restaurant & Pizza
313 East State Street
Rockford, IL 61104
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5812
NAICS: 722110/Full-Service Restaurants
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/05/2011
Emphasis:
Case Closed: 07/15/2011
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100822691 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,000 | $0 | $1,000 |
| 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 | 19040039 A | 06/23/2011 | 06/28/2011 | $0 | $1,000 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1, a waitress, slipped to one knee, as a result of a previous medical condition, while carrying an order to a customer. After the incident, Employee #1 continued to work for the remainder of the day. However, after the day of the incident, Employee #1 took a leave of absence for three weeks and then returned to work for another three days. Employee #1 fainted at her home and was transported to the hospital where she died. Physicians believe that the Employee #1 had a Pulmonary Emboli due to the collapse or fall while working.
Keywords: EMBOLISM, FAINTED, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314041492 | Fatality | Other | Occupation not reported |