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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: AHCL - 15630 18TH AVENUE - DEPTS

Injury · Days away from work

On , an injury at AHCL - 15630 18TH AVENUE - DEPTS in CLEARLAKE, CA 95422 resulted in days away from work. Employee was hIM Technician in general Medical and Surgical Hospitals.

Establishment
AHCL - 15630 18TH AVENUE - DEPTS
Parent company
Adventist Health System-West
Street
15630 18TH AVENUE P.O. BOX 6710
City
CLEARLAKE
State
CA
ZIP
95422
On-site location
PARKING LOT
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
10

WALKING IN THE PARKING LOT

EE seen at Palm Occ Med [REDACTED] on [REDACTED] TTD Placed off work [REDACTED] only Light duty starting [REDACTED] EE walking in parking lot when a car backed up and hit her on left side of body She fell down on ground when the back of her head hit the gro

Strained Back Struck by motor vehicle Car

Car

EE seen at Palm Occ Med [REDACTED] on [REDACTED] TTD Placed off work [REDACTED] only Light duty starting [REDACTED]

Job description
HIM Technician
SOC code
29-2055 — Surgical Technologists
NAICS code
622110 — General Medical and Surgical Hospitals
NAICS vintage
2022
Avg employees
423
Total hours worked
723962
EIN
680395149
Establishment ID
1384725
Employer case #
7699
Date of incident
Shift started
8:00
Time of incident
12:58
Filing year
2024
Submitted
01MAR2025:18:11:00

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.