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RANCHO CORDOVA, CA —

OSHA Injury Report: 0438 - RANCHO CORDOVA CA

Injury · Days away from work

At a glance

On , an injury at 0438 - RANCHO CORDOVA CA in 11260 WHITE ROCK ROAD, RANCHO CORDOVA, CA 94804 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
0438 - RANCHO CORDOVA CA
Parent company
Costco Wholesale
Street
11260 WHITE ROCK ROAD
City
RANCHO CORDOVA
State
CA
ZIP
94804
On-site location
TIRE SHOP

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
41

Before the incident

Stocking batteries

What happened

While I was stocking batteries the manager was pushing the dolly beside me when the tire on the dolly popped and crackin

Injury or illness

Inflammation swelling Ear Left Side

Object or substance involved

Cart

Summary line

Inflammation swelling Ear Left Side Object Handled Cart

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
271
Total hours worked
418510
EIN
911223280
Establishment ID
1217169
Employer case #
WC608G7509

When (timing detail)

Date of incident
Time of incident
11:30:00.000
Submitted
04MAR24:19:34:00

More injuries at 0438 - RANCHO CORDOVA 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.