SIMI VALLEY, CA ·
OSHA Injury Report: AHSV-2975 N. SYCAMORE DR DEPTS
Injury · Other recordable case
At a glance
On , an injury at AHSV-2975 N. SYCAMORE DR DEPTS in 2975 N. SYCAMORE DR SUITE 101, SIMI VALLEY, CA 93065 resulted in other recordable case. Employee was RN Special Pro in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- AHSV-2975 N. SYCAMORE DR DEPTS
- Parent company
- Adventist Health System West
- Street
- 2975 N. SYCAMORE DR SUITE 101
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 93065
- On-site location
- ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING THE PATIENT
What happened
GI lab room 1 The Boom was raised up to the ceiling to roll pt on their side and while moving the pt the boom fell on top of nurse [REDACTED] s head from ceiling height Instructed to go to ER for evaluation
Injury or illness
Bruised Head Struck by hand tool Patient
Object or substance involved
Patient
Summary line
GI lab room 1 The Boom was raised up to the ceiling to roll pt on their side and while moving the p
Employee and industry
- Job description
- RN Special Pro
- SOC code
- 29-1141: Registered Nurses
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 1,010
- Hours worked at this establishment (2025 total)
- 1,437,606
- EIN
- 953484589
- Establishment ID
- 1473259
- Employer case #
- 10678
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 11:10
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-16
More injuries at Ahsv-2975 N. Sycamore DR 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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