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Safety Incidents OSHA Severe Injury Reports · 2015–2025

CLEARLAKE, CA —

OSHA Injury Report: AHCL - 15630 18TH AVENUE - DEPTS

Injury · Days away from work

At a glance

On , an injury at AHCL - 15630 18TH AVENUE - DEPTS in 15630 18TH AVENUE P.O. BOX 6710, CLEARLAKE, CA 95422 resulted in days away from work. Employee was dietary Service in general Medical and Surgical Hospitals.

Where did this happen?

Establishment
AHCL - 15630 18TH AVENUE - DEPTS
Parent company
Adventist Health System-West
Street
15630 18TH AVENUE P.O. BOX 6710
City
CLEARLAKE
State
CA
ZIP
95422
On-site location
KITCHEN

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
137
Days restricted or transferred
43

Before the incident

LIFTING THE CASE OF TOMATOES

What happened

Associate hurt his back when lifting a crate of tomatoes Was seen at the [REDACTED] [R[REDACTED]ACT[REDACTED]] and was told that he has back spasms Will attach Incident Report WC Claim and [REDACTED] notes to email from case worker once received

Injury or illness

Strained Low back Lifting Crate of Tomatoes

Object or substance involved

Crate of Tomatoes

Summary line

Associate hurt his back when lifting a crate of tomatoes Was seen at the ED [REDACTED] and was told t

Employee and industry

Job description
Dietary Service
SOC code
35-3041 — Food Servers, Nonrestaurant
NAICS code
622110 — General Medical and Surgical Hospitals
NAICS vintage
2022
Avg employees
423
Total hours worked
723962
EIN
680395149
Establishment ID
1384725
Employer case #
8689

When (timing detail)

Date of incident
Shift started
8:00
Time of incident
10:00
Filing year
2024
Submitted
01MAR2025:18:11:00

More injuries at AHCL - 15630 18TH AVENUE - DEPTS

View AHCL - 15630 18TH AVENUE - DEPTS's full OSHA safety record →

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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.