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 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
- Avg employees
- 142
- Total hours worked
- 234662
- EIN
- 881227629
- Establishment ID
- 1176378
- Employer case #
- 9
When (timing detail)
- Date of incident
- Shift started
- 5:44:00.000
- Time of incident
- 8:55:00.000
- Submitted
- 27FEB24:21:03:00
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.