San Jose, CA —
OSHA Injury Report: Merrill Gardens Willow Glen
Injury · Other recordable case
At a glance
On , an injury at Merrill Gardens Willow Glen in San Jose, CA 95126 resulted in other recordable case. Employee was dining Room Server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Merrill Gardens Willow Glen
- Parent company
- Merrill Gardens LLC
- Street
- 1420 Curci Drive
- City
- San Jose
- State
- CA
- ZIP
- 95126
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was trying to fix a broken jar.
What happened
Employee cut his finger on the broken jar and passed out while applying pressure to the cut.
Injury or illness
Cut on left index finger.
Object or substance involved
Broken jar
Summary line
Cut on finger from broken jar
Employee and industry
- Job description
- Dining Room Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 58
- Total hours worked
- 89409
- EIN
- 852832999
- Establishment ID
- 1052419
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 27FEB24:20:52:00
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.