Tiburon, CA —
OSHA Injury Report: 014 - Tiburon
Injury · Other recordable case
At a glance
On , an injury at 014 - Tiburon in Tiburon, CA 94920 resulted in other recordable case. Employee was deli Clerk in retail.
Where did this happen?
- Establishment
- 014 - Tiburon
- Parent company
- Nugget Market Inc
- Street
- 1 Blackfield Drive
- City
- Tiburon
- State
- CA
- ZIP
- 94920
- On-site location
- Deli
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking in [REDACTED] near the dish pit.
What happened
When walking slipped on water causing her to fall on her back and hit back of her head.
Injury or illness
Contusion to back of the head
Object or substance involved
Floor
Summary line
Fell hit head on floor
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Retail
- NAICS vintage
- 2012
- Avg employees
- 76
- Total hours worked
- 120258
- EIN
- 941675108
- Establishment ID
- 960207
- Employer case #
- 2025318
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 13:20
- Filing year
- 2025
- Submitted
- 25FEB26:22:31:00
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.