Vallejo, CA —
OSHA Injury Report: 0206-02621351
Injury · Other recordable case
At a glance
On , an injury at 0206-02621351 in Vallejo, CA 94589 resulted in other recordable case. Employee was staff Nurse II in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- 0206-02621351
- Parent company
- Kaiser Permanente
- Street
- 975 Sereno Dr.
- City
- Vallejo
- State
- CA
- ZIP
- 94589
- On-site location
- room 4
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
while attempting to restrain a flailing dementia patient with the assistance of three other staff members the patient struck Aireonna to the R breast with a closed fist
What happened
R breast soreness to site and difficulty raising R arm from pain
Injury or illness
R breast
Object or substance involved
na
Summary line
R breast soreness to site and difficulty raising R arm from pain
Employee and industry
- Job description
- Staff Nurse II
- SOC code
- 29-1141 — Registered Nurses
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2012
- Avg employees
- 1692
- Total hours worked
- 2353226
- EIN
- 942728480
- Establishment ID
- 1022693
- Employer case #
- 281972
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 19:00
- 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.