Centerville, IN —
OSHA Injury Report: Ambassador Centerville Management LLC
Injury · Other recordable case
At a glance
On , an injury at Ambassador Centerville Management LLC in Centerville, IN 47330 resulted in other recordable case. Employee was dietary in nursing Care Facility.
Where did this happen?
- Establishment
- Ambassador Centerville Management LLC
- Parent company
- Ambassador Centerville Management LLC
- Street
- 705 East Main Street
- City
- Centerville
- State
- IN
- ZIP
- 47330
- On-site location
- Outside dietary door
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bring in a food cart from outside in the refrigerator.
What happened
Bringing in the cart from the refrigerator outside the wind pushed and slammed the door on hand.
Injury or illness
pain in her right hand
Object or substance involved
door wind
Summary line
Hand slammed in door
Employee and industry
- Job description
- Dietary
- SOC code
- 31-9099 — Healthcare Support Workers, All Other
- NAICS code
- 623110 — Nursing Care Facility
- NAICS vintage
- 2012
- Avg employees
- 180
- Total hours worked
- 243445
- Establishment ID
- 958251
- Employer case #
- 0002
When (timing detail)
- Date of incident
- Shift started
- 15:45
- Time of incident
- 17:00
- Filing year
- 2024
- Submitted
- 10FEB2025:21:27:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.