Meadow Vista, CA —
OSHA Injury Report: Holiday Market 61
Injury · Job transfer or restriction
At a glance
On , an injury at Holiday Market 61 in Meadow Vista, CA 95722 resulted in job transfer or restriction. Employee was bakery Assistant Manager in 445110 Supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- Holiday Market 61
- Parent company
- NORTH STATE GROCERY GROUP
- Street
- 16981 Placer Hills Rd.
- City
- Meadow Vista
- State
- CA
- ZIP
- 95722
- On-site location
- Bakery Deli Dept
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
Pulling bread in the freezer
What happened
While pulling and lifting 50lb box of bread over shoulder height employee felt a pop in the R shoulder.
Injury or illness
R shoulder and R upper back musculosketetal sysptoms
Object or substance involved
50lb box of frozen bread
Summary line
Upper R back and R shoulder
Employee and industry
- Job description
- Bakery Assistant Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — 445110 Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 46
- Total hours worked
- 58810
- EIN
- 680173691
- Establishment ID
- 1292233
- Employer case #
- 250920008
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 7:30
- 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.