Pomona, CA —
OSHA Injury Report: Pomona Valley Hospital Medical Center
Injury · Job transfer or restriction
At a glance
On , an injury at Pomona Valley Hospital Medical Center in Pomona, CA 91767 resulted in job transfer or restriction. Employee was eVS ASSOC II.
Where did this happen?
- Establishment
- Pomona Valley Hospital Medical Center
- Parent company
- Pomona Valley Hospital Medical Center
- Street
- 1798 N. Garey Avenue
- City
- Pomona
- State
- CA
- ZIP
- 91767
- On-site location
- EVS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
Housekeeping
What happened
SLIP TRIP FALL- SAME LEVEL. WALKING INTO ROOM 271 TRIPPED ON MOP BECAUSE IT GOT STUCK ON THE DOOR. [REDACTED]: PER [REDACTED] [REDACTED] NOTES PATIENT PRESENTED TO CLINIC IN A WHEELCHAIR. PATIENT CLAIMED THEY FELL NEAR [REDACTED] AND LANDED ON RIGHT KNEE. PATIENT DENIED TO FILE A W C CLAIM WAS CLEANED UP AND WENT BACK TO WORK. 01 09 [REDACTED]: 1 MONTH POST INJURY PATIENT FILED W C CLAIM AND NOW CLAIMING INJURY TO BILATERAL SHOULDERS AND KNEES.
Injury or illness
Trip Fall Multiple Areas
Object or substance involved
Mop Broon Dust Pan
Summary line
TRIP FALL- SAME LEVEL OVER OBJECT.
Employee and industry
- Job description
- EVS ASSOC II
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 622110
- NAICS vintage
- 2012
- Avg employees
- 4045
- Total hours worked
- 5748431
- EIN
- 951115230
- Establishment ID
- 128874
- Employer case #
- 2025-0016
When (timing detail)
- Date of incident
- Time of incident
- 7:00
- Filing year
- 2025
- Submitted
- 28JAN26:22:19:00
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.