San Rafael, CA —
OSHA Injury Report: Embassy Suites by Hilton San Rafael, CA
Injury · Days away from work
At a glance
On , an injury at Embassy Suites by Hilton San Rafael, CA in San Rafael, CA 94903 resulted in days away from work. Employee was banquet Supervisor in hotels (except casino hotels).
Where did this happen?
- Establishment
- Embassy Suites by Hilton San Rafael, CA
- Parent company
- True North Hotel Group
- Street
- 101 McInnis Parkway
- City
- San Rafael
- State
- CA
- ZIP
- 94903
- On-site location
- Ballroom
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 12
- Days restricted or transferred
- 56
Before the incident
Breaking down a dance floor
What happened
After stacking dance floor tiles onto their cart the cart tipped over and one fell off landing on his foot
Injury or illness
broken bone
Object or substance involved
dance floor tile
Summary line
Right foot
Employee and industry
- Job description
- Banquet Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 721110 — Hotels (except casino hotels)
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 144830
- EIN
- 824206491
- Establishment ID
- 423368
- Employer case #
- 23-2
When (timing detail)
- Date of incident
- Shift started
- 15:02:00.000
- Time of incident
- 1:00:00.000
- Submitted
- 05FEB24:22:14:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.