Inspection Detail
Inspection: 924475.015 - Provision Living, Llc
Inspection Information - Office: Fairview Heights Area Office
Site Address:
Provision Living, Llc
208 Zachery Dr
Mount Vernon, IL 62864
Mailing Address:
208 Zachery Dr, Mount Vernon, IL 62864
Union Status: NonUnion
SIC:
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/01/2013
Emphasis:
Case Closed: 12/24/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 836149 |
Investigation Summary
At 10:00 a.m. on July 11, 2013, Employee #1 and a coworker were outside the facility taking a break. The break area was located on a concrete slab just outside the exit door. Employee #1, who was sitting on two stacked plastic milk crates, was startled when someone opened the exit door from inside the facility, causing the employee to fall off the crates. The fall caused a scraped arm, ankle and tail bone injury. Employee #1 did not inform her employer. The employee developed a bilateral pulmonary thromboembolism from her ankle injury and later died.
Keywords: Ankle, Arm, Concrete Slab, Crate, Embolism, Fall, Lost Balance, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 924475.015 | 29 | F | Fatality |
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