SANTA CRUZ, CA ·
OSHA Injury Report: 0149 - SANTA CRUZ CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0149 - SANTA CRUZ CA in 220 SYLVANIA AVENUE, SANTA CRUZ, CA 30328 resulted in job transfer or restriction. Employee was service deli clerk 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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 23
Before the incident
working in the deli
What happened
EE began feeling minor back pain in the deli the [REDACTED] He fell at basketball practice
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Back Lower Right Side Horseplay Tool Equipment Unclassified
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter 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 #
- WC608G7473
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 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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