SELMA, CA —
OSHA Injury Report: AHSE-1141 ROSE AVE DEPTS
Injury · Other recordable case
At a glance
On , an injury at AHSE-1141 ROSE AVE DEPTS in SELMA, CA 93662 resulted in other recordable case. Employee was lVN in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- AHSE-1141 ROSE AVE DEPTS
- Parent company
- Adventist Health System West
- Street
- 1141 ROSE AVE
- City
- SELMA
- State
- CA
- ZIP
- 93662
- On-site location
- ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] CARE
What happened
[REDACTED] as per report Specimen bottle fell from tech cart and solution splashed over my face shield and into my eye On [REDACTED] EE manager called EH and reported that associate got Formalin 10 in his eye EH nurse confirmed ee flushed eyes for 1
Injury or illness
Foreign body Bilateral Eye Contact with Formain 10
Object or substance involved
Formain 10
Summary line
[REDACTED] as per report Specimen bottle fell from tech cart and solution splashed over my face shie
Employee and industry
- Job description
- LVN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Avg employees
- 313
- Total hours worked
- 470730
- EIN
- 953484589
- Establishment ID
- 1473274
- Employer case #
- 9885
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 10:15
- Filing year
- 2025
- Submitted
- 16FEB26:19:33:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.