Venice, FL ·
OSHA Injury Report: Convival Jacaranda Trace, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Convival Jacaranda Trace, LLC in 3600 William Penn Way, Venice, FL 34293 resulted in job transfer or restriction. Employee was line Cook in retirement communities, continuing care.
Where did this happen?
- Establishment
- Convival Jacaranda Trace, LLC
- Street
- 3600 William Penn Way
- City
- Venice
- State
- FL
- ZIP
- 34293
- On-site location
- Kitchen walk in freezer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 28
Before the incident
Employee was pulling a box of cookie dough off a shelf in the freezer. The employee turned around to place the item on a cart.
What happened
The employee 's feet slipped on the metal ramp leading out the door of the freezer.
Injury or illness
Cervical sprain thoracic contusion left elbow contusion right wrist sprain vision disturbance
Object or substance involved
The floor
Summary line
Cervical sprain thoracic contusion left elbow contusion right wrist sprain vision disturbance
Employee and industry
- Job description
- Line Cook
- SOC code
- 35-2012: Cooks, Institution and Cafeteria
- NAICS code
- 623311: Retirement communities, continuing care
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 142
- Hours worked at this establishment (2023 total)
- 234,662
- EIN
- 881227629
- Establishment ID
- 1176378
- Employer case #
- 9
When (timing detail)
- Date of incident
- Shift started
- 05:44
- Time of incident
- 08:55
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-27
More injuries at Convival Jacaranda Trace, LLC
View Convival Jacaranda Trace, LLC's full OSHA safety record →
More injuries in this industry (NAICS 623311)
More injuries in FL
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.