Lancaster, PA —
OSHA Injury Report: Evergreen Estates Retirement Community
Injury · Other recordable case
At a glance
On , an injury at Evergreen Estates Retirement Community in Evergreen Estates, 1300 E King St Lancaster PA 17602, Lancaster, PA 17602 resulted in other recordable case. Employee was cook in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Evergreen Estates Retirement Community
- Parent company
- Evergreen Estates Retirement Community
- Street
- Evergreen Estates, 1300 E King St Lancaster PA 17602
- City
- Lancaster
- State
- PA
- ZIP
- 17602
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Mopping the floor near a shelving unit
What happened
staff member hit shelf with mop handle knocking an empty bucket off the shelf and hitting his back at the shoulders
Injury or illness
CO of pain in back of shoulders
Object or substance involved
empty bucket
Summary line
staff member was grazed on the shoulder
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 61
- Total hours worked
- 99058
- EIN
- 383934055
- Establishment ID
- 1010907
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:15:00.000
- Filing year
- 2023
- Submitted
- 04JAN24:19:48:00
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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 — no per-record IMIS deep link exists.