Venice, FL ·
OSHA Injury Report: Convival Jacaranda Trace, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Convival Jacaranda Trace, LLC in 3600 William Penn Way, Venice, FL 34293 resulted in job transfer or restriction. Employee was prep Cook in retirement communities, continuing care.
Where did this happen?
- Establishment
- Convival Jacaranda Trace, LLC
- Street
- 3600 William Penn Way
- City
- Venice
- State
- FL
- ZIP
- 34293
- On-site location
- Kitchen hallway
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 68
Before the incident
Employee was moving a cart in the hall to the kitchen
What happened
A shelf in the hall outside the kitchen fell against the employee when it was hit with the cart the employee was using. The shelf struck the employee in the right leg.
Injury or illness
Injury to the right knee and thigh
Object or substance involved
Shelf
Summary line
Injury to right knee & thigh when rack that was bumped fell against employee
Employee and industry
- Job description
- Prep Cook
- SOC code
- 35-2013: Cooks, Private Household
- NAICS code
- 623311: Retirement communities, continuing care
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 158
- Hours worked at this establishment (2025 total)
- 248,214
- EIN
- 881227629
- Establishment ID
- 1176378
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 06:05
- Time of incident
- 14:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-16
More injuries at Convival Jacaranda Trace, LLC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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