FOLSOM, CA —
OSHA Injury Report: 0765 - FOLSOM CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0765 - FOLSOM CA in FOLSOM, CA 00959 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0765 - FOLSOM CA
- Parent company
- Costco Wholesale
- Street
- 1800 CAVITT COURT
- City
- FOLSOM
- State
- CA
- ZIP
- 00959
- On-site location
- Food Court
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 22
Before the incident
cutting pizza
What happened
employee was cutting pizza and felt heard a pop in shoulder
Injury or illness
Inflammation swelling Shoulder Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Inflammation swelling Shoulder Right Side Pushing Tool Equipment Unclassified
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 382
- Total hours worked
- 583816
- EIN
- 911223280
- Establishment ID
- 1218030
- Employer case #
- WC608G2721
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 18:30:00.000
- 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.