Cavalier, ND · 2024-09-27

OSHA Injury Report: Pembina County Memorial Hospital Association

Injury · Other recordable case

At a glance

On 2024-09-27, an injury at Pembina County Memorial Hospital Association in 301 Mountain Street East, Cavalier, ND 58220 resulted in other recordable case. Employee was housekeeper in general medical and surgical hospitals.

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Where did this happen?

Establishment: Pembina County Memorial Hospital Association
Parent company: Pembina County Memorial Hospital Association
Street: 301 Mountain Street East
City: Cavalier
State: ND
ZIP: 58220
On-site location: C-32 resident room

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

Putting Laundry away in [REDACTED] Resident Room

What happened

Slipped on floor

Injury or illness

Tailbone Right Elbow and Left Wrist

Object or substance involved

floor

Summary line

walked into resident room and slipped backwards on tailbone left wrist and right elbow. Burning sensation on tailbone and sore wrist and elbow.

Employee and industry

Job description: Housekeeper
SOC code: 37-2012: Maids and Housekeeping Cleaners
NAICS code: 622110: General medical and surgical hospitals
NAICS vintage: 2012
Employees at this establishment (2024 average): 175
Hours worked at this establishment (2024 total): 249,809
EIN: 456013474
Establishment ID: 520335
Employer case #: 2024-24

When (timing detail)

Date of incident: 2024-09-27
Time of incident: 12:22
Filing year: 2024
Submitted to OSHA: 2025-02-14

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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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