ROSEVILLE, CA ·
OSHA Injury Report: 0029 ROSEVILLE CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0029 ROSEVILLE CA WHSE in 6750 STANFORD RANCH ROAD, ROSEVILLE, CA 95678 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 0029 ROSEVILLE CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 6750 STANFORD RANCH ROAD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95678
- On-site location
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 34
Before the incident
helping a member with a load when he stepped to avoid an electric cart and heard a pop and felt a stinning in his left kneet
What happened
While assisting in the lot [REDACTED] was helping a member with a load and stepped and felt pop in knee
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Member Electric Scooter
Summary line
Inflammation swelling Knee Left Side Twisted Member Electric Scooter
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 431
- Hours worked at this establishment (2024 total)
- 649,030
- EIN
- 911223280
- Establishment ID
- 1378296
- Employer case #
- WC608G9931
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 14:50
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0029 Roseville CA Whse
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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, so no per-record IMIS deep link exists.
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