Ukiah, CA ·
OSHA Injury Report: 1297 - UKIAH CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1297 - UKIAH CA in 1275 Airport Park Blvd, Ukiah, CA 75041 resulted in job transfer or restriction. Employee was bakery wrapper in wholesale Grocer.
Where did this happen?
- Establishment
- 1297 - UKIAH CA
- Parent company
- Costco Wholesale
- Street
- 1275 Airport Park Blvd
- City
- Ukiah
- State
- CA
- ZIP
- 75041
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 48
Before the incident
lifting mixer bowl
What happened
Was washing industrial mixer and mixer began to fell EE grabbed mixer and had pain in R shoulder and R elbow
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Bakery Mixer
Summary line
Strain Sprain Shoulder Right Side Object Handled Bakery Mixer
Employee and industry
- Job description
- BAKERY WRAPPER
- SOC code
- 53-7064: Packers and Packagers, Hand
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 217
- Hours worked at this establishment (2023 total)
- 341,329
- EIN
- 911223280
- Establishment ID
- 1217493
- Employer case #
- WC608G4765
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1297 - Ukiah CA
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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