Seattle, WA —
OSHA Injury Report: 53-318520210
Injury · Other recordable case
At a glance
On , an injury at 53-318520210 in Seattle, WA 98109 resulted in other recordable case. Employee was server in continuing care retirement communities.
Where did this happen?
- Establishment
- 53-318520210
- Parent company
- The Courtyard Cafe at Mirabella
- Street
- 116 Fairview Ave N.
- City
- Seattle
- State
- WA
- ZIP
- 98109
- On-site location
- Dining Room Reception Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Sitting on chair in dining room reception area
What happened
Sitting on chair and bent to pick up a receipt from floor chair slipped and fell on floor
Injury or illness
Strained back
Object or substance involved
Floor
Summary line
Sitting on chair and bent to pick up a receipt from floor chair slipped and fell on floor
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 215
- Total hours worked
- 367918
- EIN
- 342030255
- Establishment ID
- 1435373
- Employer case #
- 45856
When (timing detail)
- Date of incident
- Shift started
- 11:15
- Time of incident
- 18:55
- Filing year
- 2025
- Submitted
- 21JAN26:21:10:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.