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SANTA CRUZ, CA —

OSHA Injury Report: 0149 - SANTA CRUZ CA

Injury · Days away from work

At a glance

On , an injury at 0149 - SANTA CRUZ CA in 220 SYLVANIA AVENUE, SANTA CRUZ, CA 30328 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.

Where did this happen?

Establishment
0149 - SANTA CRUZ CA
Parent company
Costco Wholesale
Street
220 SYLVANIA AVENUE
City
SANTA CRUZ
State
CA
ZIP
30328
On-site location
Main Freezer

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
7
Days restricted or transferred
93

Before the incident

Helping Forklift driver to find product soup

What happened

EE went into freezer to help driver find soup EE slipped on ice that was stuck to floor EE feel on their back

Injury or illness

Strain Sprain Back Upper Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Back Upper Right Side Fall on Ice or Snow Floor Walking Surface

Employee and industry

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
371
Total hours worked
558882
EIN
911223280
Establishment ID
1217833
Employer case #
WC608G2025

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
5:20:00.000
Submitted
04MAR24:19:29:00

More injuries at 0149 - SANTA CRUZ CA

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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.