Marysville, WA —
OSHA Injury Report: Village Concepts Of Marysville-Grandview Village
Other illness · Job transfer or restriction
At a glance
On , an other illness at Village Concepts Of Marysville-Grandview Village in Marysville, WA 98270 resulted in job transfer or restriction. Employee was server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Village Concepts Of Marysville-Grandview Village
- Parent company
- Village Concepts
- Street
- 5800 645th st NE
- City
- Marysville
- State
- WA
- ZIP
- 98270
- On-site location
- kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Other illness (code 6)
- Days restricted or transferred
- 2
Before the incident
walking
What happened
walking in kitchen doing normal tasks. Tripped on her own footing. Shoes gripped floor causing her to fall forward landing on ice machine.
Injury or illness
chest left knee and right hand contusion
Object or substance involved
ice machine
Summary line
chest contusion left knee contusion right hand contusion
Employee and industry
- Job description
- server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 22
- Total hours worked
- 36089
- EIN
- 601084266
- Establishment ID
- 806555
- Employer case #
- 2
When (timing detail)
- Date of incident
- Time of incident
- 18:30:00.000
- Submitted
- 08JAN24:21:13:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.