Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: Waverly Inn

Other illness · Other recordable case

On , an other illness at Waverly Inn in 515 W. Rand Rd., Arlington Heights, IL 60004 resulted in other recordable case. Employee was caregiver in assisted Living Facilities for the Elderly.

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Establishment
Waverly Inn
Parent company
Koelsch - Waverly Inn
Street
515 W. Rand Rd.
City
Arlington Heights
State
IL
ZIP
60004
On-site location
The incident took place in her room.
Outcome
Other recordable case (code 4)
Type
Other illness (code 6)

She was holding residents feet in order to help the wound attendant treat her.

Resident started to sit up and with her right hand she punched her.

Zaira 's lip started bleeding and there was some swelling.

Resident 's right hand

Resident started to sit up and with her right hand she punched her.

Job description
Caregiver
SOC code
31-1122: Personal Care Aides
NAICS code
623312: Assisted Living Facilities for the Elderly
NAICS vintage
2022
Employees at this establishment (2023 average)
41
Hours worked at this establishment (2023 total)
60,753
EIN
611775203
Establishment ID
670056
Employer case #
2
Date of incident
Shift started
06:00
Time of incident
12:30
Filing year
2023
Submitted to OSHA
2024-02-16

View Waverly Inn's full OSHA safety record →

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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