SAN RAFAEL, CA —
OSHA Injury Report: 02121151 SAN RAFAEL HOSPITAL
Injury · Other recordable case
At a glance
On , an injury at 02121151 SAN RAFAEL HOSPITAL in SAN RAFAEL, CA 94903 resulted in other recordable case. Employee was housekeeping Ai in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- 02121151 SAN RAFAEL HOSPITAL
- Parent company
- Kaiser Foundation Health Plan
- Street
- 99 MONTECILLO RD.
- City
- SAN RAFAEL
- State
- CA
- ZIP
- 94903
- On-site location
- SANI PAK AREA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TRIPPED AND FELL
What happened
fell to ground
Injury or illness
Bruised Left Arm Fall on same level Ground
Object or substance involved
Ground
Summary line
fell to ground
Employee and industry
- Job description
- Housekeeping Ai
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Avg employees
- 883
- Total hours worked
- 1193271
- EIN
- 941105628
- Establishment ID
- 1521167
- Employer case #
- 210651
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 11:00
- Filing year
- 2025
- Submitted
- 27FEB26:19:12:00
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.