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 cashier 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
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
walking to gather carts
What happened
EE was walking to get some carts and a car struck him to the left shoulder and back area
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Member Vehicle
Summary line
Bruise or Contusion Shoulder Left Side Struck by a Moving Object Member Vehicle
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011: Cashiers
- 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 #
- WC608H0429
When (timing detail)
- Date of incident
- Shift started
- 12:15
- Time of incident
- 15:00
- 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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