Devils Lake, ND —
OSHA Injury Report: 20th St
Injury · Job transfer or restriction
At a glance
On , an injury at 20th St in Devils Lake, ND 58301 resulted in job transfer or restriction. Employee was direct Support Professional 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
Intercepting a person supported that was not in an appropriate area
What happened
When intercepting the person supported about why they were in the area they were in the response was to get toilet paper. The person supported did not have toilet paper - instead they had taken a cigarette from a house mate without permission. When staff asked for the cigarette the person supported got angry and started to hit and kick the staff member.
Injury or illness
Contusions to the (L) side of body - ribs lower back hip and arm.
Object or substance involved
The supported person 's fists and feet
Summary line
Contusion to (L) side of body
Employee and industry
- Job description
- Direct Support Professional
- SOC code
- 31-1122 — Personal Care Aides
- 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 #
- 1953214447
When (timing detail)
- Date of incident
- Shift started
- 19:51:00.000
- Time of incident
- 1:00:00.000
- 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.