San Rafael, CA —
OSHA Injury Report: Smith Ranch Homes Homeowners' Association
Injury · Other recordable case
At a glance
On , an injury at Smith Ranch Homes Homeowners' Association in San Rafael, CA 94903 resulted in other recordable case. Employee was server in continuing care retirement communities.
Where did this happen?
- Establishment
- Smith Ranch Homes Homeowners' Association
- Street
- 500 Deer Valley Road
- City
- San Rafael
- State
- CA
- ZIP
- 94903
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
The employee was loading items on a food cart.
What happened
The employee hit a metal soup pot with her elbow.
Injury or illness
Contusion
Object or substance involved
a metal soup pot
Summary line
Right elbow contusion from hard contact with a metal pot.
Employee and industry
- Job description
- Server
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 80
- Total hours worked
- 156051
- EIN
- 680220972
- Establishment ID
- 405848
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 10:00:00.000
- Submitted
- 29FEB24:18:02:00
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.