Fort Wayne, IN —
OSHA Injury Report: Evergreen Village at Fort Wayne
Injury · Other recordable case
At a glance
On , an injury at Evergreen Village at Fort Wayne in Fort Wayne, IN 46845 resulted in other recordable case. Employee was cook 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
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cutting food
What happened
cutting food and cut left hand
Injury or illness
cut to left hand
Object or substance involved
knife
Summary line
Laceration to left hand
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- 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 #
- 2
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 19FEB24:20:51:00
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.