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RANCHO CORDOVA, CA —

OSHA Injury Report: 0438 - RANCHO CORDOVA CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0438 - RANCHO CORDOVA CA in 11260 WHITE ROCK ROAD, RANCHO CORDOVA, CA 94804 resulted in job transfer or restriction. Employee was gAS STATION ATTD 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
GAS STATION

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
20

Before the incident

Standing on the curb or gas pump

What happened

Employee was standing on a gas pump to check the top When she stepped down she felt as if her knee popped out of place

Injury or illness

Dislocation Knee Left Side

Object or substance involved

Parking Lot

Summary line

Dislocation Knee Left Side Fall on uneven surface Parking Lot

Employee and industry

Job description
GAS STATION ATTD
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
271
Total hours worked
418510
EIN
911223280
Establishment ID
1217169
Employer case #
WC608G4952

When (timing detail)

Date of incident
Shift started
13:15:00.000
Time of incident
20:20:00.000
Submitted
04MAR24:19:34:00

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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.