SANTA CRUZ, CA ·
OSHA Injury Report: 0149 - SANTA CRUZ CA
Injury · Days away from work
At a glance
On , an injury at 0149 - SANTA CRUZ CA in 220 SYLVANIA AVENUE, SANTA CRUZ, CA 30328 resulted in days away from work. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 0149 - SANTA CRUZ CA
- Parent company
- Costco Wholesale
- Street
- 220 SYLVANIA AVENUE
- City
- SANTA CRUZ
- State
- CA
- ZIP
- 30328
- On-site location
- Main Freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
- Days restricted or transferred
- 93
Before the incident
Helping Forklift driver to find product soup
What happened
EE went into freezer to help driver find soup EE slipped on ice that was stuck to floor EE feel on their back
Injury or illness
Strain Sprain Back Upper Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Upper Right Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 371
- Hours worked at this establishment (2023 total)
- 558,882
- EIN
- 911223280
- Establishment ID
- 1217833
- Employer case #
- WC608G2025
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 05:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0149 - Santa Cruz 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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