Albany, CA ·
OSHA Injury Report: Belmont Village Berkeley, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Belmont Village Berkeley, LLC in 1100 San Pablo Ave., Albany, CA 94706 resulted in job transfer or restriction. Employee was PAL in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village Berkeley, LLC
- Parent company
- Belmont Village Berkeley, LLC
- Street
- 1100 San Pablo Ave.
- City
- Albany
- State
- CA
- ZIP
- 94706
- On-site location
- Circle of Friends Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 43
Before the incident
Sitting in a chair
What happened
Employee was sitting in a chair and pushed the chair backward the chair slipped causing her to fall the chair hit the top of her left shoulder and the fall caused low back pain
Injury or illness
contusion to left shoulder low back strain
Object or substance involved
chair
Summary line
left shoulder contusion low back strain
Employee and industry
- Job description
- PAL
- SOC code
- 9999: Uncoded
- NAICS code
- 623311: Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 147
- Hours worked at this establishment (2024 total)
- 223,099
- EIN
- 475655364
- Establishment ID
- 1289501
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 15:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-04
More injuries at Belmont Village Berkeley, LLC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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