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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Ukiah, CA —

OSHA Injury Report: 1297 - UKIAH CA

Injury · Job transfer or restriction

At a glance

On , an injury at 1297 - UKIAH CA in 1275 Airport Park Blvd, Ukiah, CA 75041 resulted in job transfer or restriction. Employee was bAKERY WRAPPER in wholesale Grocer.

Where did this happen?

Establishment
1297 - UKIAH CA
Parent company
Costco Wholesale
Street
1275 Airport Park Blvd
City
Ukiah
State
CA
ZIP
75041
On-site location
BAKERY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
48

Before the incident

lifting mixer bowl

What happened

Was washing industrial mixer and mixer began to fell EE grabbed mixer and had pain in R shoulder and R elbow

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Bakery Mixer

Summary line

Strain Sprain Shoulder Right Side Object Handled Bakery Mixer

Employee and industry

Job description
BAKERY WRAPPER
SOC code
53-7064 — Packers and Packagers, Hand
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
217
Total hours worked
341329
EIN
911223280
Establishment ID
1217493
Employer case #
WC608G4765

When (timing detail)

Date of incident
Shift started
14:00:00.000
Filing year
2023
Submitted
04MAR24:19:28:00

More injuries at 1297 - UKIAH CA

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.