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
- Assisted living 1 cleaning supply closet
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
opened closet door and a box on top shelf fell and hit team member on the head
What happened
opened closet door and a box on top shelf fell and hit team member on the head
Injury or illness
closed head injury with concussion
Object or substance involved
cardboard box
Summary line
opened closet door and a box on top shelf fell and hit team member on the head
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 #
- 8
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 12:05:00.000
- Submitted
- 02MAR24:00:27:00
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.