Peoria, AZ —
OSHA Injury Report: The Forum at Desert Harbor
Injury · Job transfer or restriction
At a glance
On , an injury at The Forum at Desert Harbor in Peoria, AZ 85381 resulted in job transfer or restriction. Employee was cook 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 kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
chopping squash
What happened
cut her hand while chopping squash
Injury or illness
laceration of her left middle finger and left ring finger
Object or substance involved
knife
Summary line
laceration of her left middle finger
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- 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 #
- 5
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 9:40:00.000
- Submitted
- 01MAR24:23:20:00
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.