San Rafael, CA —
OSHA Injury Report: 0206-02621151
Injury · Other recordable case
At a glance
On , an injury at 0206-02621151 in San Rafael, CA 94903 resulted in other recordable case. Employee was licensed Voc Nurse IV Cert in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- 0206-02621151
- Parent company
- Kaiser Permanente
- Street
- 99 Montecillo Rd.
- City
- San Rafael
- State
- CA
- ZIP
- 94903
- On-site location
- Procedure Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE stated that on [REDACTED] she lifted a CO2 tank and felt a tug near her scalpula on her right shoulder She stated that she did not report it to her manager because she thought she would i
What happened
Right Shoulder Contusion
Injury or illness
Right Shoulder
Object or substance involved
na
Summary line
Right Shoulder Contusion
Employee and industry
- Job description
- Licensed Voc Nurse IV Cert
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2012
- Avg employees
- 960
- Total hours worked
- 1387784
- EIN
- 942728480
- Establishment ID
- 1022691
- Employer case #
- 282360
When (timing detail)
- Date of incident
- Shift started
- 8:30
- Time of incident
- 15:00
- Filing year
- 2025
- Submitted
- 26FEB26:18:55:00
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.