SANTA ROSA, CA —
OSHA Injury Report: 0041 - SANTA ROSA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0041 - SANTA ROSA CA in SANTA ROSA, CA 99508 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0041 - SANTA ROSA CA
- Parent company
- Costco Wholesale
- Street
- 1900 SANTA ROSA AVENUE
- City
- SANTA ROSA
- State
- CA
- ZIP
- 99508
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 17
Before the incident
moving chicken boxes
What happened
[REDACTED] from lifting heavy boxes that were stacked too high
Injury or illness
Hernia Abdomen
Object or substance involved
Merchandise
Summary line
[REDACTED] Abdomen Lifting Merchandise
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
- Avg employees
- 396
- Total hours worked
- 624821
- EIN
- 911223280
- Establishment ID
- 1217034
- Employer case #
- WC608G8279
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:30:00.000
- Submitted
- 04MAR24:19:34:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.