Union, WA —
OSHA Injury Report: North Forty Lodging LLC
Injury · Other recordable case
At a glance
On , an injury at North Forty Lodging LLC in Union, WA 98592 resulted in other recordable case. Employee was banquet Server in hotels (except casino hotels) with golf courses, tennis courts, and/or other health spa facilities (i.e., resorts).
Where did this happen?
- Establishment
- North Forty Lodging LLC
- Parent company
- North Forty Lodging LLC
- Street
- PO Box 609
- City
- Union
- State
- WA
- ZIP
- 98592
- On-site location
- Olympic Ballroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
clearing tables
What happened
a water glass was broken and the glass cut her wrist
Injury or illness
cut
Object or substance involved
broken water glass
Summary line
cut to the wrist from broken water glass
Employee and industry
- Job description
- Banquet Server
- SOC code
- 39-3091 — Amusement and Recreation Attendants
- NAICS code
- 721110 — Hotels (except casino hotels) with golf courses, tennis courts, and/or other health spa facilities (i.e., resorts)
- NAICS vintage
- 2012
- Avg employees
- 240
- Total hours worked
- 325476
- EIN
- 912155756
- Establishment ID
- 498961
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 18:00
- Filing year
- 2024
- Submitted
- 17FEB2025:23:21:00
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.