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 RN Emergency D 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
- ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PATIENT STRUCK THE EMPLOYEE
What happened
Upon going to escort a patient on a 51 50 hold to a room The patient became combative and assaultive to the RN ERT and House Supervisor in attendance Security responded as they were on stand by Patient was taken to a room by team restrained and
Injury or illness
Puncture Left Lower leg Struck by individual Patient
Object or substance involved
Patient
Summary line
Upon going to escort a patient on a 51 50 hold to a room The patient became combative and assaultiv
Employee and industry
- Job description
- RN Emergency D
- SOC code
- 29-1141: Registered Nurses
- 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 #
- 7968
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 23:27
- 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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