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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Clallam County Public Hospital District #1 (DBA Forks Community Hospital)

Other illness · Other recordable case

On , an other illness at Clallam County Public Hospital District #1 (DBA Forks Community Hospital) in Forks, WA 98331 resulted in other recordable case. Employee was eS aide in general medical and surgical hospitals.

Establishment
Clallam County Public Hospital District #1 (DBA Forks Community Hospital)
Street
530 Bogachiel Way
City
Forks
State
WA
ZIP
98331
On-site location
NSSB new side soilroom
Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

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.

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.

All Other Specific Injuries NOC

MISC - Foreign Matter in Eyes

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.

Job description
ES aide
SOC code
31-1131 — Nursing Assistants
NAICS code
622110 — General medical and surgical hospitals
NAICS vintage
2012
Avg employees
164
Total hours worked
277436
EIN
916001732
Establishment ID
435483
Employer case #
SX33919
Date of incident
Shift started
5:00
Time of incident
12:10
Filing year
2025
Submitted
05MAR26:15:47:00

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.