Winston Salem, NC —
OSHA Injury Report: Southfork
Injury · Other recordable case
At a glance
On , an injury at Southfork in Winston Salem, NC 27103 resulted in other recordable case. Employee was executive Director in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Southfork
- Street
- 1345 Jonestown Rd
- City
- Winston Salem
- State
- NC
- ZIP
- 27103
- On-site location
- dining room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
employee walked into dining room
What happened
employee walked into dining room to set the table and slipped in small puddle of water caused left foot to go out in front of her fell on right knee
Injury or illness
right knee contusion
Object or substance involved
slip fall
Summary line
employee walked into dining room to set the table and slipped in small puddle of water caused left foot to go out in front of her fell on right knee
Employee and industry
- Job description
- Executive Director
- SOC code
- 11-9111 — Medical and Health Services Managers
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 46
- Total hours worked
- 82570
- EIN
- 871932840
- Establishment ID
- 962856
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 8:15:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 07FEB24:19:43:00
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.