Fort Wayne, IN ·
OSHA Injury Report: Silver Birch at Cook Rd
Injury · Job transfer or restriction
At a glance
On , an injury at Silver Birch at Cook Rd in 3731 W Cook Rd, Fort Wayne, IN 46818 resulted in job transfer or restriction. Employee was server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Silver Birch at Cook Rd
- Parent company
- Cook Road AAL LP
- Street
- 3731 W Cook Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46818
- On-site location
- near dumpsters
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 119
Before the incident
taking trash to dumpster
What happened
wind blew table jumped to avoid and fell to buttocks
Injury or illness
back sprain strain
Object or substance involved
wind table
Summary line
back sprain - fell to avoid piece of discarded furniture
Employee and industry
- Job description
- Server
- SOC code
- 35-3041: Food Servers, Nonrestaurant
- NAICS code
- 623312: Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 47
- Hours worked at this establishment (2023 total)
- 65,307
- EIN
- 823479583
- Establishment ID
- 1123600
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 06:30
- Time of incident
- 14:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Silver Birch at Cook Rd
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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.
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