ROSEVILLE, CA ·
OSHA Injury Report: 0029 - ROSEVILLE CA
Injury · Days away from work
At a glance
On , an injury at 0029 - ROSEVILLE CA in 6750 STANFORD RANCH ROAD, ROSEVILLE, CA 95210 resulted in days away from work. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0029 - ROSEVILLE CA
- Parent company
- Costco Wholesale
- Street
- 6750 STANFORD RANCH ROAD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95210
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 23
Before the incident
Setting up the chicken room
What happened
[REDACTED] was setting up the oil caddy s under the oven grease drains A handle fell off and the caddy fell on her left
Injury or illness
Bruise or Contusion Foot Left Side
Object or substance involved
Cart
Summary line
Bruise or Contusion Foot Left Side Struck by a Moving Object Cart
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)
- 466
- Hours worked at this establishment (2023 total)
- 704,796
- EIN
- 911223280
- Establishment ID
- 1217151
- Employer case #
- WC608G4781
When (timing detail)
- Date of incident
- Shift started
- 06:30
- Time of incident
- 06:50
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0029 - Roseville 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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