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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: CG Roxane LLC Shasta

Injury · Job transfer or restriction

On , an injury at CG Roxane LLC Shasta in Weed, CA 96094 resulted in job transfer or restriction. Employee was filler Operator in spring waters, purifying and bottling.

Establishment
CG Roxane LLC Shasta
Parent company
CG Roxane, LLC
Street
1400 Mary's Drive
City
Weed
State
CA
ZIP
96094
On-site location
Phase 1 Line 1 Filler Room
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days away from work
1
Days restricted or transferred
68

after clearing a lable jam employee was exiting the labeler

EE was stepping out of the filler foot slipped awkwardly sprining ankle causing ee to fall on right arm

sprained right ankle and painful elbow

fall from height fall from ladder

EE was stepping out of the filler foot slipped awkwardly sprining ankle causing ee to fall on right arm

Job description
Filler Operator
SOC code
9999 — Uncoded
NAICS code
312112 — Spring waters, purifying and bottling
NAICS vintage
2022
Avg employees
112
Total hours worked
244450
EIN
680207100
Establishment ID
1241117
Employer case #
9
Date of incident
Shift started
6:00:00.000
Time of incident
11:50:00.000
Submitted
17APR24:16:14:00

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.