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 340 W. 40th St, 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
- Employees at this establishment (2023 average)
- 69
- Hours worked at this establishment (2023 total)
- 93,291
- EIN
- 474003815
- Establishment ID
- 1062380
- Employer case #
- 10
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-10
More injuries at Addington Place of Lakeside Vista
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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