Peoria, AZ —
OSHA Injury Report: The Forum at Desert Harbor
Injury · Other recordable case
At a glance
On , an injury at The Forum at Desert Harbor in Peoria, AZ 85381 resulted in other recordable case. Employee was server 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
- IL kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
getting ready to pour soup into a bowl
What happened
poured soup on her hand
Injury or illness
inflamed hand
Object or substance involved
hot soup
Summary line
hand
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- 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 #
- 10
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 16:20:00.000
- Submitted
- 02MAR24:00:41:00
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.