Forks, WA ·
OSHA Injury Report: Clallam County Public Hospital District #1 (DBA Forks Community Hospital)
Other illness · Other recordable case
At a glance
On , an other illness at Clallam County Public Hospital District #1 (DBA Forks Community Hospital) in 530 Bogachiel Way, Forks, WA 98331 resulted in other recordable case. Employee was ES aide in general medical and surgical hospitals.
Where did this happen?
- Street
- 530 Bogachiel Way
- City
- Forks
- State
- WA
- ZIP
- 98331
- On-site location
- NSSB new side soilroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
I had finished filling my gallon jug with virex from the wall dispenser. Decided to put on the counter and hit the faucet with the gallon jug. Splashing my left eye.
What happened
I had finished filling my gallon jug with virex from the wall dispenser. Decided to put on the counter and hit the faucet with the gallon jug. Splashing my left eye.
Injury or illness
All Other Specific Injuries NOC
Object or substance involved
MISC - Foreign Matter in Eyes
Summary line
I had finished filling my gallon jug with virex from the wall dispenser. Decided to put on the counter and hit the faucet with the gallon jug. Splashing my left eye.
Employee and industry
- Job description
- ES aide
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 622110: General medical and surgical hospitals
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 164
- Hours worked at this establishment (2025 total)
- 277,436
- EIN
- 916001732
- Establishment ID
- 435483
- Employer case #
- SX33919
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 12:10
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-05
More injuries at Clallam County Public Hospital District #1 (DBA Forks Community Hospital)
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More injuries in WA
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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