ROSEVILLE, CA ·
OSHA Injury Report: 0029 ROSEVILLE CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0029 ROSEVILLE CA WHSE in 6750 STANFORD RANCH ROAD, ROSEVILLE, CA 95678 resulted in days away from work. Employee was receiver shipper 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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 112
Before the incident
Unloading trucks
What happened
Empl hit the lip of the dock plate while driving a double jack out of a truck This caused the dble jack to jerk
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Jarring Bouncing Forklift
Employee and industry
- Job description
- RECEIVER SHIPPER
- SOC code
- 43-5071: Shipping, Receiving, and Inventory Clerks
- 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 #
- WC608H5174
When (timing detail)
- Date of incident
- Shift started
- 03:00
- Time of incident
- 04:00
- 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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