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 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
- 7
Before the incident
moving product to a different table
What happened
EE was moving product to a different table when she turned slipped on water tried catching herself and felt pain
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Right Side Fall from liquid spill or grease Floor Walking Surface
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
- Avg employees
- 400
- Total hours worked
- 620399
- EIN
- 911223280
- Establishment ID
- 1378299
- Employer case #
- WC608H2373
When (timing detail)
- Date of incident
- Time of incident
- 16:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:40:00
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.