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VACAVILLE, CA —

OSHA Injury Report: 0694 - VACAVILLE CA

Injury · Other recordable case

At a glance

On , an injury at 0694 - VACAVILLE CA in 1051 HUME WAY, VACAVILLE, CA 06082 resulted in other recordable case. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0694 - VACAVILLE CA
Parent company
Costco Wholesale
Street
1051 HUME WAY
City
VACAVILLE
State
CA
ZIP
06082
On-site location
RECEIVING

What was the outcome?

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

Before the incident

filling the scrubber with water

What happened

Emp bent over to pick up dropped cutter when he struck the corner of the wall w his forehead causing a cut

Injury or illness

Bruise or Contusion Forehead Right and Left Side

Object or substance involved

Maintenance Housekeeping

Summary line

Bruise or Contusion Forehead Right and Left Side Struck Against a Fixed Object Maintenance Housekeeping

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
287
Total hours worked
437832
EIN
911223280
Establishment ID
1218004
Employer case #
WC608G7259

When (timing detail)

Date of incident
Shift started
13:30:00.000
Time of incident
17:58:00.000
Submitted
04MAR24:19:38:00

More injuries at 0694 - VACAVILLE CA

View 0694 - VACAVILLE 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.