Santa Rosa, CA —
OSHA Injury Report: 10139 Santa Rosa
Injury · Other recordable case
At a glance
On , an injury at 10139 Santa Rosa in Santa Rosa, CA 95405 resulted in other recordable case. Employee was s In Store Shopper.
Where did this happen?
- Establishment
- 10139 Santa Rosa
- Street
- 1181 Yulupa Avenue
- City
- Santa Rosa
- State
- CA
- ZIP
- 95405
- On-site location
- Grocery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Standing on a step ladder
What happened
Slip Trip Fall From Ladder or Scaffolding
Injury or illness
Strain Sprain
Object or substance involved
Ladder or Step Stool
Summary line
EE STATES FIXING GLOVE AREA STANDING ON 3 STEP LADDER SLIPPEDAND FELL CAUSING PAIN TO RIGHT ANKLE TAILBONE AND BOTH WRIST.
Employee and industry
- Job description
- S In Store Shopper
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 176285
- EIN
- 742489930
- Establishment ID
- 715797
- Employer case #
- 0005771984
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 8:40:00.000
- Submitted
- 28FEB24:22:31:00
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.