SANTA ROSA, CA ·
OSHA Injury Report: 0041 SANTA ROSA CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0041 SANTA ROSA CA WHSE in 1900 SANTA ROSA AVENUE, SANTA ROSA, CA 95407 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0041 SANTA ROSA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1900 SANTA ROSA AVENUE
- City
- SANTA ROSA
- State
- CA
- ZIP
- 95407
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
taking out rotisserie chickens
What happened
Taking out rotisserie chickens developed left shoulder pain
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Left Side Lifting Merchandise
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 400
- Hours worked at this establishment (2024 total)
- 620,399
- EIN
- 911223280
- Establishment ID
- 1378299
- Employer case #
- WC608H0620
When (timing detail)
- Date of incident
- Time of incident
- 15:25
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0041 Santa Rosa 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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