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SANTA ROSA, CA —

OSHA Injury Report: 0041 - SANTA ROSA CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0041 - SANTA ROSA CA in 1900 SANTA ROSA AVENUE, SANTA ROSA, CA 99508 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
0041 - SANTA ROSA CA
Parent company
Costco Wholesale
Street
1900 SANTA ROSA AVENUE
City
SANTA ROSA
State
CA
ZIP
99508
On-site location
TIRE SHOP

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
7

Before the incident

walking near tire maching working on member vehicle

What happened

EE struck his elbow against tire machine and caused swelling bursa

Injury or illness

Bruise or Contusion Elbow Right Side

Object or substance involved

Tire Changer

Summary line

Bruise or Contusion Elbow Right Side Caught by Fixed Object Tire Changer

Employee and industry

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
396
Total hours worked
624821
EIN
911223280
Establishment ID
1217034
Employer case #
WC608G7971

When (timing detail)

Date of incident
Shift started
12:15:00.000
Time of incident
17:00:00.000
Submitted
04MAR24:19:34:00

More injuries at 0041 - SANTA ROSA CA

View 0041 - SANTA ROSA CA'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.