SAN PEDRO, CA ·
OSHA Injury Report: CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Injury · Other recordable case
At a glance
On , an injury at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA in 1322 W SIXTH ST, SAN PEDRO, CA 90732 resulted in other recordable case. Employee was LPN LVN in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
- Parent company
- Providence Health & Services PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
- Street
- 1322 W SIXTH ST
- City
- SAN PEDRO
- State
- CA
- ZIP
- 90732
- On-site location
- IN RECREATION ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PACKING HER BAG
What happened
[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she screamed tha
Injury or illness
Fainted Bilateral Knee Stress BODILY REACTION
Object or substance involved
BODILY REACTION
Summary line
[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she scr
Employee and industry
- Job description
- LPN LVN
- SOC code
- 29-2061: Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 127
- Hours worked at this establishment (2023 total)
- 242,707
- EIN
- 461672810
- Establishment ID
- 1191252
- Employer case #
- 86469
When (timing detail)
- Date of incident
- Shift started
- 19:00
- Time of incident
- 06:45
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at CA128 Providence Little CO of Mary Subacute CA
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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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