Santa Rosa, CA —
OSHA Injury Report: 10139 Santa Rosa
Injury · Other recordable case
At a glance
On , an injury at 10139 Santa Rosa in Santa Rosa, CA 95405 resulted in other recordable case. Employee was s Cook.
Where did this happen?
- Establishment
- 10139 Santa Rosa
- Street
- 1181 Yulupa Avenue
- City
- Santa Rosa
- State
- CA
- ZIP
- 95405
- On-site location
- Prepared Foods Hot Bar Salad Bar Soup Bar Venue Island
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
unknown
What happened
TM was stocking packaged soup and turn while on step ladder tweaking left shoulder
Injury or illness
Strain Sprain Back
Object or substance involved
Box barrel container
Summary line
TM was stocking packaged soup and turn while on step ladder tweaking left shoulder
Employee and industry
- Job description
- S Cook
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 108
- Total hours worked
- 182746
- EIN
- 742489930
- Establishment ID
- 715797
- Employer case #
- 0005772141
When (timing detail)
- Date of incident
- Time of incident
- 14:10
- Filing year
- 2024
- Submitted
- 01MAR2025:18:28:00
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.