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 sr Customer Se 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
WALKING AROUND THE BUILDING
What happened
[REDACTED] was walking around their office building to take an afternoon break outside in the shade Just after they went around the building where she slipped and fell While down on the cement they found they had a laceration on their right big t
Injury or illness
Lacerated Right Toe s Fall Didewalk
Object or substance involved
Didewalk
Summary line
[REDACTED] was walking around their office building to take an afternoon break outside in the shade
Employee and industry
- Job description
- Sr Customer Se
- SOC code
- 43-4051: Customer Service Representatives
- 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 #
- 10257
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 16:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-16
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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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