San Rafael, CA —
OSHA Injury Report: Embassy Suites by Hilton San Rafael, CA
Injury · Days away from work
At a glance
On , an injury at Embassy Suites by Hilton San Rafael, CA in San Rafael, CA 94903 resulted in days away from work. Employee was banquet Server in hotels (except casino hotels).
Where did this happen?
- Establishment
- Embassy Suites by Hilton San Rafael, CA
- Parent company
- True North Hotel Group
- Street
- 101 McInnis Parkway
- City
- San Rafael
- State
- CA
- ZIP
- 94903
- On-site location
- Hotel Dishwashing Area
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
While walking near the dishwasher area the employee slipped on a wet floor and fell backwards. During the fall the employee struck the back left side of their head on the floor and broke a plate.
What happened
On [REDACTED] the employee was walking near the dishwasher area to place dirty dishes. The employee slipped on a wet floor and fell backward. During the fall the employee struck the back left side of their head on the floor and broke a plate.
Injury or illness
The employee hurt the back left side of his head experienced pain in his lower back and sustained a cut on his right hand.
Object or substance involved
No Object but wet floor.
Summary line
Employee was walking near the dishwasher area floor was wet and therefore employee slipped backwards hit back left side of head on floor and broke a plate.
Employee and industry
- Job description
- Banquet Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 721110 — Hotels (except casino hotels)
- NAICS vintage
- 2012
- Avg employees
- 98
- Total hours worked
- 138118
- EIN
- 824206491
- Establishment ID
- 423368
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 0:45
- Time of incident
- 9:28
- Filing year
- 2024
- Submitted
- 28JAN2025:00:27:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.