Devils Lake, ND · 2023-07-30

OSHA Injury Report: 20th St

Injury · Other recordable case

At a glance

On 2023-07-30, an injury at 20th St in 116 20th St NE, Devils Lake, ND 58301 resulted in other recordable case. Employee was residential Coordinator in 623210 Residential Intellectual and Developmental Disability Facilities.

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Where did this happen?

Establishment: 20th St
Parent company: LAKE REGION CORPORATION
Street: 116 20th St NE
City: Devils Lake
State: ND
ZIP: 58301
On-site location: 20th St

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)
Days restricted or transferred: 14

Before the incident

Assisting person supported into van

What happened

In the process of assisting the person supported into the van the person supported started to fall backwards and the staff member caught them so they would not fall to the ground. Staff felt the muscles in lower back pull.

Injury or illness

Sprain strain to lower back

Object or substance involved

Person supported

Summary line

Sprain Strain to lower back

Employee and industry

Job description: Residential Coordinator
SOC code: 9999: Uncoded
NAICS code: 623210: 623210 Residential Intellectual and Developmental Disability Facilities
NAICS vintage: 2022
Employees at this establishment (2023 average): 4
Hours worked at this establishment (2023 total): 5,267
EIN: 450383900
Establishment ID: 1240599
Employer case #: 1953214435

When (timing detail)

Date of incident: 2023-07-30
Shift started: 11:48
Time of incident: 13:00
Filing year: 2023
Submitted to OSHA: 2024-04-10

More injuries at 20th St

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View 20th St's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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