Ukiah, CA —
OSHA Injury Report: Tractor Supply Company Store 0162
Injury · Other recordable case
At a glance
On , an injury at Tractor Supply Company Store 0162 in Ukiah, CA 95482 resulted in other recordable case. Employee was team Member in general Merchandise Stores.
Where did this happen?
- Establishment
- Tractor Supply Company Store 0162
- Parent company
- Tractor Supply Company
- Street
- 1248 Airport Park Blvd
- City
- Ukiah
- State
- CA
- ZIP
- 95482
- On-site location
- Back Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
About To Assista Customer When He Collided Withcompressor
What happened
The Ee Was About To Assista Customer When He Collided Withcompressor. The Ee Sustained A Laceration To His Right Eye Brow.
Injury or illness
Head Laceration open wound Strike againststationary or moving object Machine NOC
Object or substance involved
Air Compressor
Summary line
TM Struck or Against Air Compressor in the Back Room causing Laceration of the Head - NOC
Employee and industry
- Job description
- Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 444240 — General Merchandise Stores
- NAICS vintage
- 2022
- Avg employees
- 23
- Total hours worked
- 32257
- EIN
- 920758772
- Establishment ID
- 741677
- Employer case #
- 0041690755
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 11:15:00.000
- Submitted
- 04MAR24:04:34:00
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.