Ukiah, CA ·
OSHA Injury Report: 1297 UKIAH CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1297 UKIAH CA WHSE in 1275 Airport Park Blvd, Ukiah, CA 95482 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1297 UKIAH CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1275 Airport Park Blvd
- City
- Ukiah
- State
- CA
- ZIP
- 95482
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
he is unsure
What happened
EE reports while working around [REDACTED] he developed some pain in his lower back EE states he believes it is due to repe
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Back Lower Right and Left Side Lifting Deli Rotisserie Skewer
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
- Employees at this establishment (2025 average)
- 216
- Hours worked at this establishment (2025 total)
- 329,113
- EIN
- 911223280
- Establishment ID
- 1378854
- Employer case #
- WC608P124
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
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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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