CLEARLAKE, CA ·
OSHA Injury Report: AHCL-15630 18TH AVE DEPTS
Injury · Other recordable case
At a glance
On , an injury at AHCL-15630 18TH AVE DEPTS in 15630 18TH AVE P.O. BOX 6710, CLEARLAKE, CA 95422 resulted in other recordable case. Employee was supervisor Fac in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- AHCL-15630 18TH AVE DEPTS
- Parent company
- Adventist Health System West
- Street
- 15630 18TH AVE P.O. BOX 6710
- City
- CLEARLAKE
- State
- CA
- ZIP
- 95422
- On-site location
- OUTSIDE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
METAL ROOF JACK FELL OFF THE ROOF
What happened
Associate was at the Main AHCL RHC Clinic in [REDACTED] While standing and talking a metal roof jack fell off the roof and struck the right side of face
Injury or illness
Bruised Right Eye Struck by hand tool Metal Roof Jack
Object or substance involved
Metal Roof Jack
Summary line
Associate was at the Main AHCL RHC Clinic in [REDACTED] While standing and talking a metal roof jac
Employee and industry
- Job description
- Supervisor Fac
- SOC code
- 2634069: Medical and Health Services Managers
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 438
- Hours worked at this establishment (2025 total)
- 743,881
- EIN
- 953484589
- Establishment ID
- 1473267
- Employer case #
- 9452
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 11:23
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-16
More injuries at Ahcl-15630 18TH AVE Depts
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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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