Dacula, GA —
OSHA Injury Report: Piedmont Assisted Living Services, LLC
Injury · Other recordable case
At a glance
On , an injury at Piedmont Assisted Living Services, LLC in Dacula, GA 30019 resulted in other recordable case. Employee was lead Med Tech in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Piedmont Assisted Living Services, LLC
- Parent company
- Arbor Terrace Hamilton Mill
- Street
- 3581 Braselton Highway
- City
- Dacula
- State
- GA
- ZIP
- 30019
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee states that she was in the residence room to give the resident his medicine.
What happened
Employee states that she was in the residence room to give the resident his medicine. She stated that the resident became combative and pulled her right hand down aggressively and pushed his foot on her left shoulder.
Injury or illness
Employee states that she is having pain to the left shoulder.; Left Shoulder(s) (Upper Extremities)
Object or substance involved
The resident
Summary line
She stated that the resident became combative and pulled her right hand down aggressively and pushed his foot on her left shoulder.
Employee and industry
- Job description
- Lead Med Tech
- SOC code
- 29-2012 — Medical and Clinical Laboratory Technicians
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 143837
- EIN
- 203253289
- Establishment ID
- 1076492
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:15:00.000
- Submitted
- 18JAN24:15:34:00
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.