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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0765 - FOLSOM CA

Injury · Days away from work

On , an injury at 0765 - FOLSOM CA in FOLSOM, CA 00959 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Establishment
0765 - FOLSOM CA
Parent company
Costco Wholesale
Street
1800 CAVITT COURT
City
FOLSOM
State
CA
ZIP
00959
On-site location
Service deli
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
2

Pulling a rack of lugers

Pulling a luger rack got caught on door lip and lugers slid forward hit him in the face

Concussion Head Right and Left Side

Tool Equipment Unclassified

Concussion Head Right and Left Side Struck by a Moving Object Tool Equipment Unclassified

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
382
Total hours worked
583816
EIN
911223280
Establishment ID
1218030
Employer case #
WC608G2619
Date of incident
Shift started
12:33:00.000
Time of incident
15:15:00.000
Submitted
04MAR24:19:38:00

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.