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 staff Nurse IV 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
- hallway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE was walking down hallway when foot got stuck on linoleum flooring Her foot stopped but momentum of body kept going
What happened
low back contusion pelvis contusion contusion
Injury or illness
low back contusion pelvis contusion
Object or substance involved
linoleum flooring
Summary line
low back contusion pelvis contusion contusion
Employee and industry
- Job description
- Staff Nurse IV
- SOC code
- 29-1141 — Registered 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 #
- 282695
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 15:30
- 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.