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 Bakery Service Team Member.
Where did this happen?
- Establishment
- 10139 Santa Rosa
- Street
- 1181 Yulupa Avenue
- City
- Santa Rosa
- State
- CA
- ZIP
- 95405
- On-site location
- Bakery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
making coffee and packaging products
What happened
Slip Trip Fall Same Level
Injury or illness
Dizziness
Object or substance involved
Ground floor
Summary line
THE EE WAS IN THE BAKERY PASSED OUT FELL AND HIT HER HEAD. SHE SUSTAINED A CONTUSION TO THE HEAD.
Employee and industry
- Job description
- S Bakery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 176285
- EIN
- 742489930
- Establishment ID
- 715797
- Employer case #
- 0005771973
When (timing detail)
- Date of incident
- Shift started
- 8:57:00.000
- 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.