Santa Rosa, CA —
OSHA Injury Report: CHEFSTORE Santa Rosa 576
Injury · Days away from work
At a glance
On , an injury at CHEFSTORE Santa Rosa 576 in Santa Rosa, CA 95404 resulted in days away from work. Employee was part Time Sales Associate in grocery.
Where did this happen?
- Establishment
- CHEFSTORE Santa Rosa 576
- Parent company
- US Foods
- Street
- 565 Barham Avenue
- City
- Santa Rosa
- State
- CA
- ZIP
- 95404
- On-site location
- In grocery aisle 16
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
Before the incident
While stocking shelves associate was working nearby and bumped into the ladder and associate lost his balance and fell from the top of the ladder
What happened
Fell off the top of a ladder Landed on his back
Injury or illness
Nature of InjuryIllness Pain Body Parts Back
Object or substance involved
Fall different level
Summary line
Nature of InjuryIllness Pain Cause of InjuryIllnessFall Different Level Body Parts Back Object Substance Fall different level
Employee and industry
- Job description
- Part Time Sales Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 424410 — Grocery
- NAICS vintage
- 2022
- Avg employees
- 24
- Total hours worked
- 39590
- Establishment ID
- 1334534
- Employer case #
- US-576 SAN
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Filing year
- 2024
- Submitted
- 28FEB2025:15:53:00
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.