Sunnyvale, CA —
OSHA Injury Report: Belmont Village Sunnyvale
Injury · Other recordable case
At a glance
On , an injury at Belmont Village Sunnyvale in Sunnyvale, CA 94087 resulted in other recordable case. Employee was pAL in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Belmont Village Sunnyvale
- Parent company
- Belmont Village Sr. Living
- Street
- 1039 East El Camino Real
- City
- Sunnyvale
- State
- CA
- ZIP
- 94087
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Transferring a resident
What happened
Transferring a resident to bed and resident bit ee on left shoulder upper left arm
Injury or illness
left shoulder strain
Object or substance involved
lifting resident
Summary line
Transferring a resident to bed and resident bit ee on left shoulder upper left arm
Employee and industry
- Job description
- PAL
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 89
- Total hours worked
- 138479
- EIN
- 461108586
- Establishment ID
- 563231
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 19:40:00.000
- Submitted
- 06FEB24:22:03:00
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.