RANCHO CORDOVA, CA —
OSHA Injury Report: 0438 RANCHO CORDOVA CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0438 RANCHO CORDOVA CA WHSE in RANCHO CORDOVA, CA 95742 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0438 RANCHO CORDOVA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 11260 WHITE ROCK ROAD
- City
- RANCHO CORDOVA
- State
- CA
- ZIP
- 95742
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 84
Before the incident
Cleaning off table
What happened
Going around to the other side of the table in deli department slipped and hit knee on the ground
Injury or illness
Bruise or Contusion Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 283
- Total hours worked
- 438499
- EIN
- 911223280
- Establishment ID
- 1378503
- Employer case #
- WC608H920
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 19:00
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.