CLEARLAKE, CA ·
OSHA Injury Report: AHCL - 15630 18TH AVENUE - DEPTS
Injury · Other recordable case
At a glance
On , an injury at AHCL - 15630 18TH AVENUE - DEPTS in 15630 18TH AVENUE P.O. BOX 6710, CLEARLAKE, CA 95422 resulted in other recordable case. Employee was environmental S in general Medical and Surgical Hospitals.
Where did this happen?
- 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
- EVS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PLACING FITTED SHEETS AWAY ON THE SHELF
What happened
Associate was putting away the blue fitted sheets on the shelf when the top shelf with hand towels fell on her The top shelf with the hand towels was missing one out of the four shelf clips
Injury or illness
Strained Left Shoulder s Fall from different level Blue Hand Towels
Object or substance involved
Blue Hand Towels
Summary line
Associate was putting away the blue fitted sheets on the shelf when the top shelf with hand towels f
Employee and industry
- Job description
- Environmental S
- SOC code
- 9999: Uncoded
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 423
- Hours worked at this establishment (2024 total)
- 723,962
- EIN
- 680395149
- Establishment ID
- 1384725
- Employer case #
- 7755
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 09:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-01
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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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