Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: Addington Place of Lakeside Vista

Respiratory condition · Days away from work

On , a respiratory condition at Addington Place of Lakeside Vista in 340 W. 40th St, Holland, MI 49423 resulted in days away from work. Employee was cook in assisted-living facilities without on-site nursing care facilities.

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Street
340 W. 40th St
City
Holland
State
MI
ZIP
49423
On-site location
facility
Outcome
Days away from work (code 2)
Type
Respiratory condition (code 3)
Days away from work
5

[REDACTED]

[REDACTED]

illness

covid-19

[REDACTED]

Job description
cook
SOC code
35-2012: Cooks, Institution and Cafeteria
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 #
12
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

View Addington Place of Lakeside Vista's full OSHA safety record →

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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