Novato, CA —
OSHA Injury Report: 10234 Novato
Injury · Other recordable case
At a glance
On , an injury at 10234 Novato in Novato, CA 94945 resulted in other recordable case. Employee was s Shift Leader.
Where did this happen?
- Establishment
- 10234 Novato
- Street
- 790 Delong Avenue
- City
- Novato
- State
- CA
- ZIP
- 94945
- On-site location
- Administrative offices
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WAS GRABBING ICE WHEN SLIPPED ON ICE ON FLOOR DID NOT FALL TWISTING THE LOWER BACK CAUSING NUMBNESS TO RIGHT LEG FOOT
What happened
Slip Trip Fall Slipped Did Not Fall
Injury or illness
Strain Sprain
Object or substance involved
Ground floor
Summary line
TM STATES SHE WAS GRABBING ICE WHEN SHE SLIPPED ON ICE ON FLOOR DID NOT FALL TWISTING THE LOWER BACK CAUSING NUMBNESS TO RIGHT LEG FOOT
Employee and industry
- Job description
- S Shift Leader
- SOC code
- 51-1011 — First-Line Supervisors of Production and Operating Workers
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 172
- Total hours worked
- 250301
- EIN
- 742489930
- Establishment ID
- 715786
- Employer case #
- 0005772006
When (timing detail)
- Date of incident
- Shift started
- 7:39:00.000
- Time of incident
- 14:30:00.000
- 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.