Santa Rosa, CA —
OSHA Injury Report: 10139 Santa Rosa
Injury · Other recordable case
At a glance
On , an injury at 10139 Santa Rosa in 1181 Yulupa Avenue, Santa Rosa, CA 95405 resulted in other recordable case. Employee was s Associate Store Team Leader.
Where did this happen?
- Establishment
- 10139 Santa Rosa
- Street
- 1181 Yulupa Avenue
- City
- Santa Rosa
- State
- CA
- ZIP
- 95405
- On-site location
- Administrative offices
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
looking for t shirt for another TM
What happened
TM hit head on wood beam
Injury or illness
Strain Sprain Multiple Injuries
Object or substance involved
Stationary object
Summary line
TM hit head on wood beam
Employee and industry
- Job description
- S Associate Store Team Leader
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 108
- Total hours worked
- 182746
- EIN
- 742489930
- Establishment ID
- 715797
- Employer case #
- 0005772210
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 10:00
- Filing year
- 2024
- Submitted
- 01MAR2025:18:28:00
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View 10139 Santa Rosa's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.