Cameron Park, CA —
OSHA Injury Report: 021 - Fork Lift
Injury · Days away from work
At a glance
On , an injury at 021 - Fork Lift in 3333 Coach Lane, Cameron Park, CA 95682 resulted in days away from work. Employee was production Cook in retail.
Where did this happen?
- Establishment
- 021 - Fork Lift
- Parent company
- Nugget Market, Inc.
- Street
- 3333 Coach Lane
- City
- Cameron Park
- State
- CA
- ZIP
- 95682
- On-site location
- Deli
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 62
Before the incident
Making wraps
What happened
Worker was bent over and felt pain in upper back and right leg
Injury or illness
Upper back and right leg strain
Object or substance involved
n a
Summary line
While bending over making wraps felt pain in upper back and right leg
Employee and industry
- Job description
- Production Cook
- SOC code
- 35-2019 — Cooks, All Other
- NAICS code
- 445110 — Retail
- NAICS vintage
- 2022
- Avg employees
- 119
- Total hours worked
- 148037
- EIN
- 941675108
- Establishment ID
- 960211
- Employer case #
- 2023151
When (timing detail)
- Date of incident
- Shift started
- 4:52:00.000
- Time of incident
- 12:30:00.000
- Submitted
- 22JAN24:18:47:00
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View 021 - Fork Lift's full OSHA safety record →
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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.