Southern Pines, NC —
OSHA Injury Report: Penick Village Inc.
Injury · Job transfer or restriction
At a glance
On , an injury at Penick Village Inc. in Southern Pines, NC 28387 resulted in job transfer or restriction. Employee was dining StewardVH in skilled nursing facilities.
Where did this happen?
- Establishment
- Penick Village Inc.
- Parent company
- Penick Village Inc.
- Street
- 500 E Rhode Island Ave
- City
- Southern Pines
- State
- NC
- ZIP
- 28387
- On-site location
- Village Dining
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
IW was removing dishes out of bus pan.
What happened
IW was removing dishes out of bus pan and unspecified knee gave out causing her to fall and land on buttocks.
Injury or illness
Abrasion and contusion to Left knee and Right Elbow.
Object or substance involved
Floor
Summary line
IW was removing dishes out of bus pan and unspecified knee gave out causing her to fall and land on buttocks.
Employee and industry
- Job description
- Dining StewardVH
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Skilled nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 225
- Total hours worked
- 322276
- EIN
- 560729010
- Establishment ID
- 889556
- Employer case #
- EAI23W1249
When (timing detail)
- Date of incident
- Shift started
- 16:30:00.000
- Time of incident
- 16:45:00.000
- Submitted
- 04MAR24:09:51:00
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.