RANCHO CORDOVA, CA —
OSHA Injury Report: 0438 - RANCHO CORDOVA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0438 - RANCHO CORDOVA CA in RANCHO CORDOVA, CA 94804 resulted in job transfer or restriction. Employee was gAS STATION ATTD 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
- GAS STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
Standing on the curb or gas pump
What happened
Employee was standing on a gas pump to check the top When she stepped down she felt as if her knee popped out of place
Injury or illness
Dislocation Knee Left Side
Object or substance involved
Parking Lot
Summary line
Dislocation Knee Left Side Fall on uneven surface Parking Lot
Employee and industry
- Job description
- GAS STATION ATTD
- 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 #
- WC608G4952
When (timing detail)
- Date of incident
- Shift started
- 13:15:00.000
- Time of incident
- 20:20:00.000
- 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.