PUYALLUP, WA ·
OSHA Injury Report: BONAVENTURE OF SOUTH HILL LLC
Injury · Other recordable case
At a glance
On , an injury at BONAVENTURE OF SOUTH HILL LLC in 14503 MERIDIAN AVENUE EAST, PUYALLUP, WA 98375 resulted in other recordable case. Employee was server in 623312 Assisted Living Facilities for the Elderly.
Where did this happen?
- Establishment
- BONAVENTURE OF SOUTH HILL LLC
- Parent company
- MOUNTAIN WEST RETIREMENT CORP
- Street
- 14503 MERIDIAN AVENUE EAST
- City
- PUYALLUP
- State
- WA
- ZIP
- 98375
- On-site location
- BONAVENTURE OF SOUTH HILL LLC
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Carrying tray of dishes.
What happened
Carrying tray in hand and took a step on right foot and my popped in and out then fell on my back
Injury or illness
Right Knee injury
Object or substance involved
Carrying tray of dishes.
Summary line
Right Knee injury
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)
- 75
- Hours worked at this establishment (2023 total)
- 112,469
- EIN
- 824806269
- Establishment ID
- 1120840
- Employer case #
- BL27069
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 12:38
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-12
More injuries at Bonaventure of South Hill 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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