LaceyWA, WA ·
OSHA Injury Report: Bonaventure of Lacey LLC
Injury · Other recordable case
At a glance
On , an injury at Bonaventure of Lacey LLC in 4528 Intelco Loop SE, LaceyWA, WA 98503 resulted in other recordable case. Employee was server in 623312 Assisted Living Facilities for the Elderly.
Where did this happen?
- Establishment
- Bonaventure of Lacey LLC
- Parent company
- MOUNTAIN WEST RETIREMENT CORP
- Street
- 4528 Intelco Loop SE
- City
- LaceyWA
- State
- WA
- ZIP
- 98503
- On-site location
- Bonaventure of Lacey
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Carrying dishes
What happened
The knife fell out of the dishes and hit my hand slicing my finger.
Injury or illness
Cut left finger.
Object or substance involved
Knife.
Summary line
Cut to left hand
Employee and industry
- Job description
- Server
- SOC code
- 35-3041: Food Servers, Nonrestaurant
- NAICS code
- 623312: 623312 Assisted Living Facilities for the Elderly
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 67
- Hours worked at this establishment (2023 total)
- 93,693
- EIN
- 205793200
- Establishment ID
- 1107957
- Employer case #
- BK89682
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 13:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-12
More injuries at Bonaventure of Lacey LLC
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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