VALLEJO, CA —
OSHA Injury Report: 02821351 VALLEJO HOSPITAL TOWER
Other illness · Days away from work
At a glance
On , an other illness at 02821351 VALLEJO HOSPITAL TOWER in VALLEJO, CA 94589 resulted in days away from work. Employee was staff Nurse III in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- 02821351 VALLEJO HOSPITAL TOWER
- Parent company
- Kaiser Foundation Health Plan
- Street
- 975 SERENO DR.
- City
- VALLEJO
- State
- CA
- ZIP
- 94589
- On-site location
- OPERATING ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 88
- Days restricted or transferred
- 80
Before the incident
LIFTING HEAVY INSTRUMENT TRAYS
What happened
[REDACTED] EE requested time to see her PCP and accommodation was granted Upon her return she informed me that she was experiencing constant pain in her shoulder When I inquired if the pain was due to an injury in the operating room she ind
Injury or illness
Torn rotator cuff Right Shoulder s Repetitive Motion Instrument trays
Object or substance involved
Instrument trays
Summary line
[REDACTED] EE requested time to see her PCP and accommodation was granted Upon her return [REDACTED]
Employee and industry
- Job description
- Staff Nurse III
- SOC code
- 29-1141 — Registered Nurses
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Avg employees
- 1663
- Total hours worked
- 2239803
- EIN
- 941105628
- Establishment ID
- 1220867
- Employer case #
- 2.02409E+1
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 13:00
- Filing year
- 2024
- Submitted
- 02MAR2025:23:42:00
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.