PORT JERVIS, NY ·
OSHA Injury Report: H511-AHV-MOUNTAIN RD HV
Injury · Days away from work
At a glance
On , an injury at H511-AHV-MOUNTAIN RD HV in 252 MOUNTAIN RD, PORT JERVIS, NY 12771 resulted in days away from work. Employee was DSP in non-profit agency.
Where did this happen?
- Establishment
- H511-AHV-MOUNTAIN RD HV
- Parent company
- ADAPT OF THE HUDSON VALLEY
- Street
- 252 MOUNTAIN RD
- City
- PORT JERVIS
- State
- NY
- ZIP
- 12771
- On-site location
- Mountain Rd
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Loading a person supported into the van
What happened
Slipping on wet metal surface of the van lift and fell backwards
Injury or illness
lower back and tailbone
Object or substance involved
pavement
Summary line
Employee injured back while transferring lifting individual
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)
- 14
- Hours worked at this establishment (2025 total)
- 29,614
- EIN
- 862864372
- Establishment ID
- 1046728
- Employer case #
- 2738
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 08:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-04
More injuries at H511-Ahv-Mountain RD 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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