CLEARLAKE, CA —
OSHA Injury Report: AHCL - 15630 18TH AVENUE - DEPTS
Injury · Days away from work
At a glance
On , an injury at AHCL - 15630 18TH AVENUE - DEPTS in CLEARLAKE, CA 95422 resulted in days away from work. Employee was dietary Service 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
- KITCHEN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 137
- Days restricted or transferred
- 43
Before the incident
LIFTING THE CASE OF TOMATOES
What happened
Associate hurt his back when lifting a crate of tomatoes Was seen at the [REDACTED] [R[REDACTED]ACT[REDACTED]] and was told that he has back spasms Will attach Incident Report WC Claim and [REDACTED] notes to email from case worker once received
Injury or illness
Strained Low back Lifting Crate of Tomatoes
Object or substance involved
Crate of Tomatoes
Summary line
Associate hurt his back when lifting a crate of tomatoes Was seen at the ED [REDACTED] and was told t
Employee and industry
- Job description
- Dietary Service
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- 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 #
- 8689
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 10:00
- Filing year
- 2024
- Submitted
- 01MAR2025:18:11:00
Source
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.