SANTA ROSA, CA ·
OSHA Injury Report: 0041 SANTA ROSA CA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0041 SANTA ROSA CA WHSE in 1900 SANTA ROSA AVENUE, SANTA ROSA, CA 95407 resulted in other recordable case. Employee was food service 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
- FOOD COURT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cleaning the pizza table
What happened
Cleaning under the pizza table and cut thumb on metal bar
Injury or illness
Laceration Thumb Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Thumb Left Side Object Handled Tool Equipment Unclassified
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999: Uncoded
- 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 #
- WC608G9945
When (timing detail)
- Date of incident
- Time of incident
- 21:50
- 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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