Inspection Detail

Case Status: CLOSED

Inspection: 1621638.015 - Dominos Pizza, Llc

Inspection Information - Office: Va-E-Verona (Field Office) - Safety 0355116

Inspection Nr: 1621638.015

Report ID: 0355116

Date Opened: 09/13/2022

Site Address:
Dominos Pizza, Llc
3966 Old Bridge Road
Lake Ridge, VA 22192

Mailing Address:
30 Frank Lloyd Wright Drive, Ann Arbor, MI 48105

Union Status: NonUnion

SIC:

NAICS: 722513

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/16/2022

Emphasis:

Case Closed: 12/09/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1946150	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 149615.015

Event: 09/10/2022

Employee Is Killed By Medical Event While Delivering Pizza

At 1:45 p.m. on September 10, 2022, an employee was delivering pizza. The employee was killed when he suffered a medical event.

Keywords: Delivery Work, Food Delivery Service, Medical Condition, Preexisting Condition

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1621638.015	79	M	Fatality

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