Godfrey, IL —
OSHA Injury Report: United Methodist Village Retirement Communities Inc. dba Asbury Village
Injury · Other recordable case
At a glance
On , an injury at United Methodist Village Retirement Communities Inc. dba Asbury Village in Godfrey, IL 62035 resulted in other recordable case. Employee was server in homes for the aged without nursing care.
Where did this happen?
- Establishment
- United Methodist Village Retirement Communities Inc. dba Asbury Village
- Parent company
- United Methodist Village Retirement Communities Inc.
- Street
- 5201 Asbury Avenue
- City
- Godfrey
- State
- IL
- ZIP
- 62035
- On-site location
- Assisted Living Dining Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Dumping out coffee from the bottom of coffee pot
What happened
While dumping out coffee the bottom on the coffee pot burst and hot coffee poured out onto leg
Injury or illness
Burn on left upper thigh
Object or substance involved
Hot coffee
Summary line
Burn to left upper thigh
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Homes for the aged without nursing care
- NAICS vintage
- 2022
- Avg employees
- 83
- Total hours worked
- 111075
- EIN
- 371363355
- Establishment ID
- 958921
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 12:45:00.000
- Submitted
- 18JAN24:18:55:00
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.