Vallejo, CA —
OSHA Injury Report: 0206-02621352
Injury · Other recordable case
At a glance
On , an injury at 0206-02621352 in Vallejo, CA 94589 resulted in other recordable case. Employee was adaptive Sports Consultant in nursing Care Facilities (Skilled Nursing Facilities).
Where did this happen?
- Establishment
- 0206-02621352
- Street
- 975 Sereno Drive
- City
- Vallejo
- State
- CA
- ZIP
- 94589
- On-site location
- Visitor Bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
unknown
What happened
Right Leg - Hairline Fx upper leg
Injury or illness
unknown
Object or substance involved
unknown
Summary line
Right Leg - Hairline Fx upper leg
Employee and industry
- Job description
- Adaptive Sports Consultant
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Nursing Care Facilities (Skilled Nursing Facilities)
- NAICS vintage
- 2022
- Avg employees
- 88
- Total hours worked
- 142162
- EIN
- 942728480
- Establishment ID
- 1022694
- Employer case #
- 269800
When (timing detail)
- Date of incident
- Submitted
- 02MAR24:03:10:00
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.