Peoria, AZ —
OSHA Injury Report: The Forum at Desert Harbor
Injury · Days away from work
At a glance
On , an injury at The Forum at Desert Harbor in Peoria, AZ 85381 resulted in days away from work. Employee was housekeeper in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- The Forum at Desert Harbor
- Parent company
- Five Star Senior Living
- Street
- 13840 N. Desert Harbor
- City
- Peoria
- State
- AZ
- ZIP
- 85381
- On-site location
- Independent living building 1st floor elevator across from the mailboxes
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
held elevator door open with left foot
What happened
held elevator door open with left foot ankle twisted in elevator door
Injury or illness
contusion of left foot
Object or substance involved
elevator door
Summary line
contusion of left foot held elevator door open with left foot
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 82
- Total hours worked
- 118578
- EIN
- 842650512
- Establishment ID
- 795668
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 01MAR24:23:10:00
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.