FOLSOM, CA —
OSHA Injury Report: 0765 - FOLSOM CA
Injury · Days away from work
At a glance
On , an injury at 0765 - FOLSOM CA in 1800 CAVITT COURT, FOLSOM, CA 00959 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0765 - FOLSOM CA
- Parent company
- Costco Wholesale
- Street
- 1800 CAVITT COURT
- City
- FOLSOM
- State
- CA
- ZIP
- 00959
- On-site location
- Service deli
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Pulling a rack of lugers
What happened
Pulling a luger rack got caught on door lip and lugers slid forward hit him in the face
Injury or illness
Concussion Head Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Concussion Head Right and Left Side Struck by a Moving Object Tool Equipment Unclassified
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 382
- Total hours worked
- 583816
- EIN
- 911223280
- Establishment ID
- 1218030
- Employer case #
- WC608G2619
When (timing detail)
- Date of incident
- Shift started
- 12:33:00.000
- Time of incident
- 15:15:00.000
- Submitted
- 04MAR24:19:38:00
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View 0765 - FOLSOM 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.