PETALUMA, CA ·
OSHA Injury Report: California Department of Transportation Facility 169
Injury · Other recordable case
At a glance
On , an injury at California Department of Transportation Facility 169 in 611 PAYRAN STREET, PETALUMA, CA 94952 resulted in other recordable case. Employee was CT Maintenance Supervisor in repair highway road street bridge or airport runway.
Where did this happen?
- Establishment
- California Department of Transportation Facility 169
- Parent company
- Facility 169
- Street
- 611 PAYRAN STREET
- City
- PETALUMA
- State
- CA
- ZIP
- 94952
- On-site location
- Freeway Ramp
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was performing duties at Injured my right ankle stepping forward to pick up a hammer from the ground. I planted my right foot but my ankle kept moving forward..
What happened
Incident occurred: Injured my right ankle stepping forward to pick up a hammer from the ground.
Injury or illness
Employee sustained an injury during the incident.
Object or substance involved
No object or substance identified.
Summary line
Injured my right ankle stepping forward to pick up a hammer from the ground. I planted my right foot but my ankle kept moving forward.
Employee and industry
- Job description
- CT Maintenance Supervisor
- SOC code
- 47-1011: First-Line Supervisors of Construction Trades and Extraction Wo
- NAICS code
- 237310: Repair highway road street bridge or airport runway
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 3,004
- Hours worked at this establishment (2025 total)
- 6,008,000
- EIN
- 946001347
- Establishment ID
- 731429
- Employer case #
- PII-04-25
When (timing detail)
- Date of incident
- Time of incident
- 15:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-11
More injuries at California Department of Transportation Facility 169
View California Department of Transportation Facility 169's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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