Inspection Detail

Case Status: CLOSED

Inspection: 1477444.015 - 111055 - Dungarvin Indiana

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 1477444.015

Report ID: 0551800

Date Opened: 06/04/2020

Site Address:
111055 - Dungarvin Indiana
1226 Blossom Court, Apt #3 (Residence)
Mishawaka, IN 46544

Mailing Address:
3570 Blackthorn Court, South Bend, IN 46628

Union Status: NonUnion

SIC:8322

NAICS: 624190/Other Individual and Family Services

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 06/29/2020

Emphasis:

Case Closed: 11/24/2020

Related Activity
Type	Activity Nr	Safety	Health
Accident	1600730

Case Status: CLOSED

Investigation Summary

Investigation Nr: 127672.015

Event: 05/31/2020

Employee is ill, later dies

At 12:00 a.m. on May 31, 2020, Employee # 1 was working at the site as a direct care worker. He told his supervisor that he was feeling lethargic and needed a couple of days off. They recommended that he be tested. He died May 31, 2020 at the hospital.

Keywords: Illness

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1477444.015	48	M	Fatality		Occupation not reported

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