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 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
dicing food
What happened
cut finger
Injury or illness
cut to left index finger
Object or substance involved
knife
Summary line
cut to left index finger with knife
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 #
- 3
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Submitted
- 19FEB24:20:55:00
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.