PORT JERVIS, NY ·
OSHA Injury Report: H511-AHV-MOUNTAIN RD HV
Injury · Days away from work
At a glance
On , an injury at H511-AHV-MOUNTAIN RD HV in 252 MOUNTAIN RD, PORT JERVIS, NY 12771 resulted in days away from work. 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
- Kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
making dinner in the kitchen
What happened
person supported came up behind her and punched her in the head neck
Injury or illness
injury to the head neck area
Object or substance involved
person supported
Summary line
Making dinner in the kitchen when a person supported came up behind her and punched her in the neck head
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 #
- 2425
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 19:00
- 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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