Holland, MI —
OSHA Injury Report: Addington Place of Lakeside Vista
Injury · Other recordable case
At a glance
On , an injury at Addington Place of Lakeside Vista in Holland, MI 49423 resulted in other recordable case. Employee was server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Addington Place of Lakeside Vista
- Street
- 340 W. 40th St
- City
- Holland
- State
- MI
- ZIP
- 49423
- On-site location
- kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
employee was washing and putting away utensils
What happened
employee was putting away utensils and cut left thumb on a knife
Injury or illness
cut on left thumb
Object or substance involved
knife
Summary line
cut left thumb
Employee and industry
- Job description
- server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- 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 #
- 10
When (timing detail)
- Date of incident
- Submitted
- 10JAN24:21:33:00
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.