Placerville, CA —
OSHA Injury Report: Holiday Market 57
Injury · Days away from work
At a glance
On , an injury at Holiday Market 57 in Placerville, CA 95667 resulted in days away from work. Employee was grocery Clerk Freight in 445110 Supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- Holiday Market 57
- Parent company
- NORTH STATE GROCERY GROUP
- Street
- 4653 Mt. Aukum Rd.
- City
- Placerville
- State
- CA
- ZIP
- 95667
- On-site location
- Grocery Dept
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 87
Before the incident
Taking a u boat out to the sales floor to stock
What happened
Employee started having a panic attack so he walked to the break room. While walking he passed out causing him to fall and injury left arm.
Injury or illness
Laceration to L arm from falling to the floor
Object or substance involved
NA
Summary line
L arm open wound
Employee and industry
- Job description
- Grocery Clerk Freight
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — 445110 Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 44
- Total hours worked
- 59630
- EIN
- 680173691
- Establishment ID
- 1292230
- Employer case #
- 250920021
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 22:08
- Filing year
- 2025
- Submitted
- 09FEB26:14:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.