VACAVILLE, CA —
OSHA Injury Report: 0694 - VACAVILLE CA
Injury · Other recordable case
At a glance
On , an injury at 0694 - VACAVILLE CA in VACAVILLE, CA 06082 resulted in other recordable case. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0694 - VACAVILLE CA
- Parent company
- Costco Wholesale
- Street
- 1051 HUME WAY
- City
- VACAVILLE
- State
- CA
- ZIP
- 06082
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
filling the scrubber with water
What happened
Emp bent over to pick up dropped cutter when he struck the corner of the wall w his forehead causing a cut
Injury or illness
Bruise or Contusion Forehead Right and Left Side
Object or substance involved
Maintenance Housekeeping
Summary line
Bruise or Contusion Forehead Right and Left Side Struck Against a Fixed Object Maintenance Housekeeping
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 287
- Total hours worked
- 437832
- EIN
- 911223280
- Establishment ID
- 1218004
- Employer case #
- WC608G7259
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 17:58:00.000
- Submitted
- 04MAR24:19:38:00
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.