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 tire installer 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
- Tireshop Bay
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 150
Before the incident
EE was working on the tire bead
What happened
EE reports that he was working on a tire breaking the bead The EE then rotated the tire and the bead popped up The EE
Injury or illness
Laceration Thumb Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Laceration Thumb Right Side Caught In or Between Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- 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 #
- WC608G1858
When (timing detail)
- Date of incident
- Shift started
- 09:45
- Time of incident
- 10:30
- 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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