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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Addington Place of Lakeside Vista

Injury · Other recordable case

On , an injury at Addington Place of Lakeside Vista in Holland, MI 49423 resulted in other recordable case. Employee was med tech in assisted-living facilities without on-site nursing care facilities.

Establishment
Addington Place of Lakeside Vista
Street
340 W. 40th St
City
Holland
State
MI
ZIP
49423
On-site location
resident room
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

helping resident

resident rolled over employees right foot with wheelchair

right foot bruised

wheelchair

right foot injury

Job description
med tech
SOC code
9999 — Uncoded
NAICS code
623312 — Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Avg employees
69
Total hours worked
93291
EIN
474003815
Establishment ID
1062380
Employer case #
4
Date of incident
Submitted
10JAN24:21:25:00

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.