Tiburon, CA —
OSHA Injury Report: 014 - Tiburon
Injury · Days away from work
At a glance
On , an injury at 014 - Tiburon in Tiburon, CA 94920 resulted in days away from work. Employee was checker 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
- Produce Dept
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
- Days restricted or transferred
- 15
Before the incident
Walking in produce
What happened
Worker lost footing and fell forward hitting right elbow right knee and both palms
Injury or illness
Contusion of right knee and right elbow
Object or substance involved
Concrete floor
Summary line
Walking in produce dept. felt dizzy & fell onto R elbow R knee both palms
Employee and industry
- Job description
- Checker
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Retail
- NAICS vintage
- 2022
- Avg employees
- 90
- Total hours worked
- 124621
- EIN
- 941675108
- Establishment ID
- 960207
- Employer case #
- 2023238
When (timing detail)
- Date of incident
- Shift started
- 15:07:00.000
- Time of incident
- 17:10:00.000
- Submitted
- 22JAN24:18:48:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.