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 dishwasher 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
collecting trash
What happened
sliced their hand on the top of an aluminum can while consolidating trash
Injury or illness
sliced palm of hand bleeding
Object or substance involved
aluminum can
Summary line
sliced their hand on the top of an aluminum can
Employee and industry
- Job description
- Dishwasher
- SOC code
- 35-9021 — Dishwashers
- 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 #
- 11
When (timing detail)
- Date of incident
- Shift started
- 9:52:00.000
- Time of incident
- 15:50:00.000
- Submitted
- 02MAR24:00:51:00
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.