San Jose, CA —
OSHA Injury Report: Belmont Village - Los Gatos
Injury · Job transfer or restriction
At a glance
On , an injury at Belmont Village - Los Gatos in San Jose, CA 95124 resulted in job transfer or restriction. Employee was server in continuing care retirement communities.
Where did this happen?
- Establishment
- Belmont Village - Los Gatos
- Parent company
- Belmont Village, LP
- Street
- 5121 Union Ave
- City
- San Jose
- State
- CA
- ZIP
- 95124
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 14
Before the incident
walking to dry storage
What happened
walked into the dry storage and slipped on wet floor injuring low back
Injury or illness
low back strain
Object or substance involved
wet floor
Summary line
walked into the dry storage and slipped on wet floor injuring low back
Employee and industry
- Job description
- Server
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 76
- Total hours worked
- 123805
- EIN
- 844798144
- Establishment ID
- 963953
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:15:00.000
- Submitted
- 02FEB24:19:36:00
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.