CAMPBELL HALL, NY ·
OSHA Injury Report: H505-AHV-SARAH WELLS
Injury · Other recordable case
At a glance
On , an injury at H505-AHV-SARAH WELLS in 116 SARAH WELLS TRAIL, CAMPBELL HALL, NY 10916 resulted in other recordable case. Employee was sr DSP in non-profit agency.
Where did this happen?
- Establishment
- H505-AHV-SARAH WELLS
- Parent company
- ADAPT OF THE HUDSON VALLEY
- Street
- 116 SARAH WELLS TRAIL
- City
- CAMPBELL HALL
- State
- NY
- ZIP
- 10916
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Going to help person supported when she heard him start shouting at staff.
What happened
He was upset and stepped forward and hit her full force in the forehead
Injury or illness
injury to forehead
Object or substance involved
person supported
Summary line
Person supported struck her in the forehead full force
Employee and industry
- Job description
- Sr DSP
- SOC code
- 9999: Uncoded
- NAICS code
- 623210: NON-PROFIT AGENCY
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 9
- Hours worked at this establishment (2024 total)
- 28,741
- EIN
- 862864372
- Establishment ID
- 1046722
- Employer case #
- 2286
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 12:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-07
More injuries at H505-Ahv-Sarah Wells
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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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