ROSEVILLE, CA —
OSHA Injury Report: WM 6621
Injury · Job transfer or restriction
At a glance
On , an injury at WM 6621 in 904 PLEASANT GROVE BLVD, ROSEVILLE, CA 95678 resulted in job transfer or restriction. Employee was cAKE DECORATOR 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
- Freezer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Strain 52 |Low Back Area-R|Fall Slip or Trip Injury|Floor Surface
What happened
ALLEGES SLIPPED IN FREEZER ON ICE DID NOT FALL ALSO ADDING HIL AND TAIL BONE TO PAIN
Injury or illness
PAIN NONSPECIFIC
Object or substance involved
WEATHER CONDITIONS
Summary line
ALLEGES SLIPPED IN FREEZER ON ICE DID NOT FALL ALSO ADDING HIL AND TAIL BONE TO PAIN
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092 — Food Batchmakers
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 218
- Total hours worked
- 337850
- EIN
- 710794414
- Establishment ID
- 1396663
- Employer case #
- C5642320
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 5:20
- Filing year
- 2025
- Submitted
- 06MAR26:19:20:00
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WM 6621
View WM 6621's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.
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