San Rafael, CA —
OSHA Injury Report: 10071 San Rafael
Injury · Other recordable case
At a glance
On , an injury at 10071 San Rafael in San Rafael, CA 94901 resulted in other recordable case. Employee was s Produce Service Team Member.
Where did this happen?
- Establishment
- 10071 San Rafael
- Street
- 340 Third Street
- City
- San Rafael
- State
- CA
- ZIP
- 94901
- On-site location
- Produce sales floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown. Team Member never informed Store Leadership of an injury.
What happened
Unknow. The Team Member made the claim after he was released from employment.
Injury or illness
Multiple Injuries Brain
Object or substance involved
Working Surface
Summary line
Unknow. The Team Member made the claim after he was released from employment.
Employee and industry
- Job description
- S Produce Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 138
- Total hours worked
- 226308
- EIN
- 742489930
- Establishment ID
- 715783
- Employer case #
- 0005772253
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 28FEB2025:19:26:00
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.