PORT JERVIS, NY ·
OSHA Injury Report: H511-AHV-MOUNTAIN RD HV
Injury · Other recordable case
At a glance
On , an injury at H511-AHV-MOUNTAIN RD HV in 252 MOUNTAIN RD, PORT JERVIS, NY 12771 resulted in other recordable case. Employee was DSP in non-profit agency.
Where did this happen?
- Establishment
- H511-AHV-MOUNTAIN RD HV
- Parent company
- ADAPT OF THE HUDSON VALLEY
- Street
- 252 MOUNTAIN RD
- City
- PORT JERVIS
- State
- NY
- ZIP
- 12771
- On-site location
- Mountain Rd
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting gloves on a person supported
What happened
person bit his forearm
Injury or illness
bite to the forearm
Object or substance involved
person supported
Summary line
Trying to put gloves on a person supported and they bit his forearm
Employee and industry
- Job description
- DSP
- SOC code
- 31-1122: Personal Care Aides
- NAICS code
- 623210: NON-PROFIT AGENCY
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 10
- Hours worked at this establishment (2024 total)
- 25,719
- EIN
- 862864372
- Establishment ID
- 1046728
- Employer case #
- 2233
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 20:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-07
More injuries at H511-Ahv-Mountain RD HV
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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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