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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Belmont Village Buffalo Grove

Injury · Other recordable case

On , an injury at Belmont Village Buffalo Grove in Buffalo Grove, IL 60089 resulted in other recordable case. Employee was server in assisted-living facilities with on-site nursing facilities.

Establishment
Belmont Village Buffalo Grove
Parent company
Belmont Village Sr. Living
Street
500 McHenry Road
City
Buffalo Grove
State
IL
ZIP
60089
On-site location
Dining Room
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

putting a tray onto metal cart

Putting a tray on a metal cart and she hit her left knee on the cart causing bruising

Contusion to the left knee

metal cart

Putting a tray on a metal cart and she hit her left knee on the cart causing bruising

Job description
Server
SOC code
35-3041 — Food Servers, Nonrestaurant
NAICS code
623311 — Assisted-living facilities with on-site nursing facilities
NAICS vintage
2022
Avg employees
110
Total hours worked
179494
EIN
461134142
Establishment ID
562704
Employer case #
3
Date of incident
Shift started
8:00:00.000
Time of incident
10:30:00.000
Submitted
02FEB24:20:06:00

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.