GRASS VALLEY, CA — 2023-07-05

OSHA Injury Report: CAGVA - GRASS VALLEY

Injury · Days away from work

At a glance

On 2023-07-05, an injury at CAGVA - GRASS VALLEY in GRASS VALLEY, CA 95945 resulted in days away from work. Employee was package Driver in couriers and Express Delivery Services.

Where did this happen?

Establishment: CAGVA - GRASS VALLEY
Parent company: United Parcel Service Inc.
Street: 12025 CHARLES ROAD
City: GRASS VALLEY
State: CA
ZIP: 95945
On-site location: Customer Premises

What was the outcome?

Outcome: Days away from work (code 2)
Type: Injury (code 1)
Days away from work: 15

Before the incident

Carrying package to customers door when dog appeared so he wanted to back away from animal and tripped backwards injuring left wrist and forearm to stop fall

What happened

[REDACTED] saw no signs of animal while approaching home to deliver dog came around as he reached door so employee attempted to back away but tripped in doing so and caught his fall with left hand hurting left wrist and forearm

Injury or illness

Pain in left forearm pain in left wrist

Object or substance involved

Fall backwards on gravel walkway to avoid dog

Summary line

Employee and industry

Job description: Package Driver
SOC code: 43-5021 — Couriers and Messengers
NAICS code: 492110 — Couriers and Express Delivery Services
NAICS vintage: 2022
Avg employees: 96
Total hours worked: 123254
EIN: 582480149
Establishment ID: 1105865
Employer case #: 2803448251

When (timing detail)

Date of incident: 2023-07-05
Shift started: 9:00:00.000
Time of incident: 17:53:00.000
Submitted: 05FEB24:17:32:00

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.