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ROSEVILLE, CA —

OSHA Injury Report: 0029 - ROSEVILLE CA

Injury · Other recordable case

At a glance

On , an injury at 0029 - ROSEVILLE CA in 6750 STANFORD RANCH ROAD, ROSEVILLE, CA 95210 resulted in other recordable case. Employee was bAKER in wholesale Grocer.

Where did this happen?

Establishment
0029 - ROSEVILLE CA
Parent company
Costco Wholesale
Street
6750 STANFORD RANCH ROAD
City
ROSEVILLE
State
CA
ZIP
95210
On-site location
BAKERY

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

stocking and organizing the cooler

What happened

[REDACTED] was working in the freezer organizing and stocking the area When he lost his footing on ice and fell foward

Injury or illness

Strain Sprain Knee Left Side

Object or substance involved

Pallet Jack Manual

Summary line

Strain Sprain Knee Left Side Pushing Pallet Jack Manual

Employee and industry

Job description
BAKER
SOC code
51-3011 — Bakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
466
Total hours worked
704796
EIN
911223280
Establishment ID
1217151
Employer case #
WC608G7620

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
6:20:00.000
Submitted
04MAR24:19:31:00

More injuries at 0029 - ROSEVILLE 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.