ROSEVILLE, CA ·
OSHA Injury Report: 0029 - ROSEVILLE CA
Injury · Other recordable case
At a glance
On , an injury at 0029 - ROSEVILLE CA in 6750 STANFORD RANCH ROAD, ROSEVILLE, CA 95210 resulted in other recordable case. Employee was baker 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
- BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking and organizing the cooler
What happened
[REDACTED] was working in the freezer organizing and stocking the area When he lost his footing on ice and fell foward
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Pallet Jack Manual
Summary line
Strain Sprain Knee Left Side Pushing Pallet Jack Manual
Employee and industry
- Job description
- BAKER
- SOC code
- 51-3011: Bakers
- 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 #
- WC608G7620
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 06:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0029 - Roseville CA
View 0029 - Roseville CA's full OSHA safety record →
More injuries in this industry (NAICS 455211)
More injuries in CA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.