ROSEVILLE, CA —
OSHA Injury Report: WM 6621
Injury · Job transfer or restriction
At a glance
On , an injury at WM 6621 in ROSEVILLE, CA 95678 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 6621
- Parent company
- Sams West, Inc.
- Street
- 904 PLEASANT GROVE BLVD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95678
- On-site location
- Receiving
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Cut Laceration (40)|Head-R|Fall Slip or Trip Injury|Equipment-Power
What happened
I WAS CALLED TO RECEIVING AND INFORMED THAT HAD FALLEN OFF THE BACK OF A TRAILER WHILE ON THE [REDACTED] WHILE THE DRIVER WAS PULLING AWAY FROM T
Injury or illness
CUT LACERATION
Object or substance involved
EQUIPMENT(POWER)
Summary line
I WAS CALLED TO RECEIVING AND INFORMED THAT HAD FALLEN OFF THE BACK OF A TRAILER WHILE ON THE [REDACTED] WHILE THE DRIVER WAS PULLING AWAY FROM T
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 205
- Total hours worked
- 328355
- EIN
- 710794414
- Establishment ID
- 1218410
- Employer case #
- C3543380
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 5:45:00.000
- Submitted
- 11MAR24:21:46:00
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.