San Rafael, CA ·
OSHA Injury Report: 110410 San Rafael Store
Injury · Job transfer or restriction
At a glance
On , an injury at 110410 San Rafael Store in 809 Lincoln Avenue, San Rafael, CA 94901 resulted in job transfer or restriction. Employee was assistant Store Manager in used Merchandise Retailer.
Where did this happen?
- Establishment
- 110410 San Rafael Store
- Street
- 809 Lincoln Avenue
- City
- San Rafael
- State
- CA
- ZIP
- 94901
- On-site location
- misl
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 118
Before the incident
lifting
What happened
elbows N A I was working in miscl. lifting heavy items out of the gaylord and began feeling discomfort in my elbows.
Injury or illness
elbows
Object or substance involved
N A
Summary line
elbows N A I was working in miscl. lifting heavy items out of the gaylord and began feeling discomfort in my elbows.
Employee and industry
- Job description
- Assistant Store Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 453310: Used Merchandise Retailer
- NAICS vintage
- 2017
- Employees at this establishment (2025 average)
- 31
- Hours worked at this establishment (2025 total)
- 46,731
- EIN
- 941156540
- Establishment ID
- 1505076
- Employer case #
- C-35730
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 19:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-01
More injuries at 110410 San Rafael Store
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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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