Inspection Detail

Inspection: 316368356 - Jerry Dean Oxendine, Edith H. Oxendine, Jerry Dean

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 316368356

Report ID: 0453710

Date Opened: 02/01/2013

Site Address:
Jerry Dean Oxendine, Edith H. Oxendine, Jerry Dean
3118 Hwy 710
Rowland, NC 28383

Mailing Address:
240 Harvard Rd., Pembroke, NC 28372

Union Status: NonUnion

SIC:7948

NAICS: 711212/Racetracks

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 02/01/2013

Planning Guide: Health-Manufacturing

Emphasis: S:Program Improvement

Case Closed: 05/19/2014

Related Activity
Type	Activity Nr	Safety	Health
Accident	100364462

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$6,800	$0	$0	$0	$0	$6,800
Current Penalty	$5,000	$0	$0	$0	$0	$5,000
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	Latest Event
1.	01001	Serious	95012901	06/19/2013	06/24/2013	$2,060	$2,800	$0	I - Informal Settlement
2.	01002	Serious	19100157 E01	06/19/2013	06/24/2013	$1,470	$2,000	$0	I - Informal Settlement
3.	01003	Serious	19100157 G01	06/19/2013	07/16/2013	$1,470	$2,000	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200361624

Event: 12/23/2012

Employee Dies from Injuries Following Fire

An incident occurred as Employee #1 was making preparations to open the establishment to the public when a fire started. Employee #1 was severely burned and taken to a local hospital burn center, where she later died of her injuries.

Keywords: BURN, FIRE, HEALTH CARE FACILITY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316368356			Fatality	Burn/Scald(Heat)	Short-order cooks

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