SANTA ROSA, CA ·
OSHA Injury Report: CA720 SANTA ROSA MEMORIAL HOSPITAL HR
Injury · Other recordable case
At a glance
On , an injury at CA720 SANTA ROSA MEMORIAL HOSPITAL HR in 1165 MONTGOMERY DR, SANTA ROSA, CA 95405 resulted in other recordable case. Employee was contractor Insta in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- CA720 SANTA ROSA MEMORIAL HOSPITAL HR
- Parent company
- Providence Health & Services SANTA ROSA MEMORIAL HOSPITAL HR
- Street
- 1165 MONTGOMERY DR
- City
- SANTA ROSA
- State
- CA
- ZIP
- 95405
- On-site location
- Nutrition Services
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working in the Dishroom getting items out of the sink to put through dish machine.
What happened
Working in the Dishroom getting items out of the sink to put through dish machine. He raised up and cut his head on the left side on the shelf that is above sink.
Injury or illness
Lacerated Head Cut punctured scraped Shelf above sink
Object or substance involved
Shelf above sink
Summary line
Working in the Dishroom getting items out of the sink to put through dish machine. He raised up and cut his head on the left side on the shelf that is above sink.
Employee and industry
- Job description
- Contractor Insta
- SOC code
- 9999: Uncoded
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 1,688
- Hours worked at this establishment (2023 total)
- 3,216,688
- EIN
- 814791043
- Establishment ID
- 1191262
- Employer case #
- 90410
When (timing detail)
- Date of incident
- Shift started
- 01:00
- Time of incident
- 01:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at CA720 Santa Rosa Memorial Hospital HR
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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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