Capitola, CA —
OSHA Injury Report: 10365 Capitola
Injury · Other recordable case
At a glance
On , an injury at 10365 Capitola in Capitola, CA 95010 resulted in other recordable case. Employee was s CashierCustomer Service TM.
Where did this happen?
- Establishment
- 10365 Capitola
- Street
- 1710 41st Avenue
- City
- Capitola
- State
- CA
- ZIP
- 95010
- On-site location
- Registers
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WHILE RETURNING BASKETS TO FRONT TRIPPED CAUGHT WITH L ARM AND DISLOCATED L SHOULDER CAUSING LIMITED MOVEMENT.
What happened
Slip Trip Fall Same Level
Injury or illness
Dislocation
Object or substance involved
Human Action
Summary line
Hurt shoulder from trip and fall
Employee and industry
- Job description
- S CashierCustomer Service TM
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 124
- Total hours worked
- 194131
- EIN
- 742489930
- Establishment ID
- 715789
- Employer case #
- 0005772040
When (timing detail)
- Date of incident
- Shift started
- 8:01:00.000
- Time of incident
- 9:40:00.000
- 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.