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 RN IV Surgery 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
- SURGERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
SLIP AND FELL ON THE WET FLOOR
What happened
Slipped and fell on wet floor
Injury or illness
Strained Anterior Back Fall from liquid grease Water
Object or substance involved
Water
Summary line
Slipped and fell on wet floor
Employee and industry
- Job description
- RN IV Surgery
- SOC code
- 29-1141: Registered Nurses
- 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 #
- 10438
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 07:00
- 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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