BETHEL, NY ·
OSHA Injury Report: H702-AHV-CRYSTAL LAKE IRA - HV
Injury · Days away from work
At a glance
On , an injury at H702-AHV-CRYSTAL LAKE IRA - HV in 297 CRYSTAL LAKE RD, BETHEL, NY 12720 resulted in days away from work. Employee was DSP in non-profit agency.
Where did this happen?
- Establishment
- H702-AHV-CRYSTAL LAKE IRA - HV
- Parent company
- ADAPT OF THE HUDSON VALLEY
- Street
- 297 CRYSTAL LAKE RD
- City
- BETHEL
- State
- NY
- ZIP
- 12720
- On-site location
- Rec Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
Coming in from getting supplies from the shed
What happened
slipped and fell
Injury or illness
hurt left elbow lower back (left side) and back of head
Object or substance involved
Floor
Summary line
walking through Rec [REDACTED] and slipped and fell landing on back and hitting back of head and injured left elbow.
Employee and industry
- Job description
- DSP
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 623210: NON-PROFIT AGENCY
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 10
- Hours worked at this establishment (2025 total)
- 24,285
- EIN
- 862864372
- Establishment ID
- 1046753
- Employer case #
- 2582
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 10:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-04
More injuries at H702-Ahv-Crystal Lake IRA - HV
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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