Lincoln, NE —
OSHA Injury Report: Pemberly Place
Injury · Other recordable case
At a glance
On , an injury at Pemberly Place in Lincoln, NE 68516 resulted in other recordable case. Employee was server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Pemberly Place
- Parent company
- Pemberly Place
- Street
- 7655 Archer Place
- City
- Lincoln
- State
- NE
- ZIP
- 68516
- On-site location
- Drink area in the dining room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking across freshly mopped floor
What happened
Slipped and hit his chin on the tile floor
Injury or illness
laceration to chin
Object or substance involved
wet tile floor
Summary line
laceration to chin from a fall on a wet floor
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 80
- Total hours worked
- 133120
- EIN
- 825405273
- Establishment ID
- 1122170
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 11:15:00.000
- Time of incident
- 19:00:00.000
- Submitted
- 13FEB24:18:24:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.