SIMI VALLEY, CA ·
OSHA Injury Report: AHSV - 2975 NORTH SYCAMORE DRIVE - DEPTS
Other illness · Other recordable case
At a glance
On , an other illness at AHSV - 2975 NORTH SYCAMORE DRIVE - DEPTS in 2975 SYCAMORE DRIVE, SIMI VALLEY, CA 93065 resulted in other recordable case. Employee was cook in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- AHSV - 2975 NORTH SYCAMORE DRIVE - DEPTS
- Parent company
- Adventist Health System-West
- Street
- 2975 SYCAMORE DRIVE
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 93065
- On-site location
- DOCK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
JUMPED OFF THE DOCK
What happened
Continuous trauma EE suffered Injury to bilateral knees left heel bilateral upper extremities bilateral wrists bilateral hands bilateral fingers
Injury or illness
Strained Bilateral Knee Repetitive motion Ground
Object or substance involved
Ground
Summary line
Continuous trauma EE suffered Injury to bilateral knees left heel bilateral upper extremities bi
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012: Cooks, Institution and Cafeteria
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 1,016
- Hours worked at this establishment (2024 total)
- 1,588,397
- EIN
- 956064971
- Establishment ID
- 1384717
- Employer case #
- 8760
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-03-01
More injuries at Ahsv - 2975 North Sycamore Drive - Depts
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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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