Fort Wayne, IN —
OSHA Injury Report: Evergreen Village at Fort Wayne
Injury · Days away from work
At a glance
On , an injury at Evergreen Village at Fort Wayne in Fort Wayne, IN 46845 resulted in days away from work. Employee was marketing Director in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Evergreen Village at Fort Wayne
- Parent company
- Evergreen Village at Fort Wayne
- Street
- 12523 Auburn Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46845
- On-site location
- Elevator
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Pulling utility cart to elevator packing away [REDACTED] ornaments
What happened
Pulling cart of decorations attempted to keep boxes from tipping turned left leg felt pulling in left knee
Injury or illness
Pulled left knee
Object or substance involved
tipping boxes
Summary line
Pulled Left knee while trying to catch falling box
Employee and industry
- Job description
- Marketing Director
- SOC code
- 11-9111 — Medical and Health Services Managers
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 51
- Total hours worked
- 79092
- EIN
- 830615937
- Establishment ID
- 1005464
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 8:30:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 19FEB24:20:46:00
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.