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 human Resources 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
- Walkway in fashion show
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Helping to set up [REDACTED] show
What happened
Tripped over electrical ground covering and fell injuring left hand rt knee rt side of cheek and lip
Injury or illness
left hand rt knee rt cheek and lip contusion
Object or substance involved
trip and fall
Summary line
Tripped over electrical ground covering and fell injuring left hand rt knee rt side of cheek and lip
Employee and industry
- Job description
- Human Resources
- SOC code
- 13-1071 — Human Resources Specialists
- 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 #
- 5
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 12:30:00.000
- Submitted
- 06FEB24:22:10:00
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.