Devils Lake, ND —
OSHA Injury Report: 20th St
Injury · Other recordable case
At a glance
On , an injury at 20th St in Devils Lake, ND 58301 resulted in other recordable case. Employee was residential Coordinator in 623210 Residential Intellectual and Developmental Disability Facilities.
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
- Avg employees
- 4
- Total hours worked
- 5267
- EIN
- 450383900
- Establishment ID
- 1240599
- Employer case #
- 1953214435
When (timing detail)
- Date of incident
- Shift started
- 11:48:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 10APR24:17:38:00
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.