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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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

Injury · Other recordable case

On , an injury at AHCL - 15630 18TH AVENUE - DEPTS in CLEARLAKE, CA 95422 resulted in other recordable case. Employee was sr Licensed Fa 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
ROOM
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

KNEELING ON THE GROUND

Kneeling while at work noticed left knee swelling

Bursitis Left Knee Repetitive motion Ground

Ground

Kneeling while at work noticed left knee swelling

Job description
Sr Licensed Fa
SOC code
29-2061 — Licensed Practical and Licensed Vocational Nurses
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 #
9623
Date of incident
Shift started
8:00
Time of incident
15:00
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.