San Rafael, CA —
OSHA Injury Report: Embassy Suites by Hilton San Rafael, CA
Injury · Job transfer or restriction
At a glance
On , an injury at Embassy Suites by Hilton San Rafael, CA in San Rafael, CA 94903 resulted in job transfer or restriction. Employee was banquet Server 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
- Banquet Foyer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Setting plates on banquet tables
What happened
When she turned after placing plates she tripped over a chair and fell
Injury or illness
Contusion of left elbow and left hip and left sacroiliac joint pain
Object or substance involved
Chair
Summary line
Contusion of left elbow and left hip and left sacroiliac joint pain
Employee and industry
- Job description
- Banquet Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 721110 — Hotels (except casino hotels)
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 144830
- EIN
- 824206491
- Establishment ID
- 423368
- Employer case #
- 23-6
When (timing detail)
- Date of incident
- Shift started
- 12:03:00.000
- Time of incident
- 16:50:00.000
- Submitted
- 05FEB24:22:48:00
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.