Inspection Detail

Case Status: CLOSED

Inspection: 1429311.015 - 143436 - Chavis-Parker Funeral Home, Inc.

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 1429311.015

Report ID: 0453710

Date Opened: 09/09/2019

Site Address:
143436 - Chavis-Parker Funeral Home, Inc.
2344 Guess Road
Timberlake, NC 27583

Mailing Address:
P.O. Box 1131, Hillsborough, NC 27278

Union Status: NonUnion

SIC:7261

NAICS: 812210/Funeral Homes and Funeral Services

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/24/2020

Emphasis:

Case Closed: 03/27/2020

Related Activity
Type	Activity Nr	Safety	Health
Accident	1494945

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$1,500	$0	$1,500
Current Penalty	$0	$0	$0	$1,125	$0	$1,125
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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 A01	01/24/2020	01/28/2020	$1,125	$1,500	$0		C - Contested

Investigation Summary

Investigation Nr: 119950.015

Event: 07/27/2019

Employee trips, falls and injures head; later dies

on July 27, 2019, an employee tripped over a parking lot speed bump. He fell face first and injured his face and head. He was taken to the hospital and diagnosed with lacerations of his upper and lower lip and abrasions to his chin. The injuries were sutured and he was discharged on the same day. On July 28, 2019, he was reported acting confused and complaining of a headache. On July 29, 2019, he started vomiting and became somnolent. An EMS was called, and he was taken to the hospital. He had poor neurologic function and was transitioned to comfort care with planned terminal extubation. He died on July 29, 2019. The report listed the probable cause of death as complications of blunt force head trauma due to mechanical fall.

Keywords: Abrasion, Face, Fall, Head, Headache, Laceration, Tripped, Vomit

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1429311.015	82	M	Fatality		Occupation not reported

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