FOLSOM, CA —
OSHA Injury Report: 0765 FOLSOM CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0765 FOLSOM CA WHSE in FOLSOM, CA 95630 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0765 FOLSOM CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1800 CAVITT COURT
- City
- FOLSOM
- State
- CA
- ZIP
- 95630
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
mounting a tire and set it on the ground
What happened
Just finished mounting a tire and set it on the ground and fell lower pain
Injury or illness
Inflammation swelling Back Lower Left Side
Object or substance involved
Tire
Summary line
Inflammation swelling Back Lower Left Side Lifting Tire
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 403
- Total hours worked
- 626327
- EIN
- 911223280
- Establishment ID
- 1378648
- Employer case #
- WC608H5260
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 9:45
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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.