MODESTO, CA —
OSHA Injury Report: Unit #1037
Injury · Other recordable case
At a glance
On , an injury at Unit #1037 in MODESTO, CA 95356 resulted in other recordable case. Employee was operations Supe in retail.
Where did this happen?
- Establishment
- Unit #1037
- Parent company
- PENNEY OPCO LLC
- Street
- 3401 DALE RD
- City
- MODESTO
- State
- CA
- ZIP
- 95356
- On-site location
- Store
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Helping customer
What happened
Employee was loading a flat bed. He tripped and fell onto his right elbow injuring his right shoulder.
Injury or illness
Fall On the Same Level
Object or substance involved
Floors
Summary line
Multiple Body Parts
Employee and industry
- Job description
- Operations Supe
- SOC code
- 9999 — Uncoded
- NAICS code
- 452112 — Retail
- NAICS vintage
- 2012
- Avg employees
- 108
- Total hours worked
- 136452
- EIN
- 853718114
- Establishment ID
- 454532
- Employer case #
- 103703
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 02MAR24:02:50:00
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.