RANCHO CORDOVA, CA —
OSHA Injury Report: 0438 - RANCHO CORDOVA CA
Injury · Days away from work
At a glance
On , an injury at 0438 - RANCHO CORDOVA CA in RANCHO CORDOVA, CA 94804 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0438 - RANCHO CORDOVA CA
- Parent company
- Costco Wholesale
- Street
- 11260 WHITE ROCK ROAD
- City
- RANCHO CORDOVA
- State
- CA
- ZIP
- 94804
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 95
- Days restricted or transferred
- 85
Before the incident
making salad for food court
What happened
EE fell on her right side back next to the 3 compartment sink
Injury or illness
Bruise or Contusion Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 271
- Total hours worked
- 418510
- EIN
- 911223280
- Establishment ID
- 1217169
- Employer case #
- WC608G6803
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 7:40:00.000
- 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.