Fort Wayne, IN —
OSHA Injury Report: Village at Pine Valley
Injury · Other recordable case
At a glance
On , an injury at Village at Pine Valley in Fort Wayne, IN 46825 resulted in other recordable case. Employee was senior Maintenance Tech in nursing homes.
Where did this happen?
- Establishment
- Village at Pine Valley
- Parent company
- Lutheran Life Villages
- Street
- 9802 Coldwater Road
- City
- Fort Wayne
- State
- IN
- ZIP
- 46825
- On-site location
- Resident 's room in Lakeside hall
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Sweeping up after installing TV in room
What happened
Employee hit head on TV after installing it
Injury or illness
Laceration on back of head
Object or substance involved
Television
Summary line
Laceration on top of head from TV
Employee and industry
- Job description
- Senior Maintenance Tech
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 114
- Total hours worked
- 180671
- Establishment ID
- 1116553
- Employer case #
- AQ88002
When (timing detail)
- Date of incident
- Submitted
- 13FEB24:20:03:00
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.