ROSEVILLE, CA —
OSHA Injury Report: Unit #2796
Injury · Other recordable case
At a glance
On , an injury at Unit #2796 in ROSEVILLE, CA 95678 resulted in other recordable case. Employee was temporary Assoc in retail.
Where did this happen?
- Establishment
- Unit #2796
- Parent company
- PENNEY OPCO LLC
- Street
- 1125 GALLERIA BLVD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95678
- On-site location
- Elevator
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working
What happened
Claimant is a [REDACTED] female employed as a JCP Customer Service Cashier who was going upstairs to the second floor she then stepped in the elevator as step was uneven with a 5 to 7inch misstep causing her to fall inside the elevator landing on her back and bottom
Injury or illness
Fall Slip From a Different Level
Object or substance involved
Floors
Summary line
Multiple Body Parts
Employee and industry
- Job description
- Temporary Assoc
- SOC code
- 9999 — Uncoded
- NAICS code
- 452112 — Retail
- NAICS vintage
- 2012
- Avg employees
- 101
- Total hours worked
- 117120
- EIN
- 853718114
- Establishment ID
- 455073
- Employer case #
- 279602
When (timing detail)
- Date of incident
- Shift started
- 16:56:00.000
- Time of incident
- 19:10:00.000
- 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.