Safety Incidents OSHA Severe Injury Reports · 2015–2025
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ROSEVILLE, CA —

OSHA Injury Report: WM 6621

Injury · Job transfer or restriction

At a glance

On , an injury at WM 6621 in 904 PLEASANT GROVE BLVD, ROSEVILLE, CA 95678 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in warehouse Clubs and Supercenters.

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Where did this happen?

Establishment
WM 6621
Parent company
Sams West, Inc.
Street
904 PLEASANT GROVE BLVD
City
ROSEVILLE
State
CA
ZIP
95678
On-site location
Receiving

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
180

Before the incident

Cut Laceration (40)|Head-R|Fall Slip or Trip Injury|Equipment-Power

What happened

I WAS CALLED TO RECEIVING AND INFORMED THAT HAD FALLEN OFF THE BACK OF A TRAILER WHILE ON THE [REDACTED] WHILE THE DRIVER WAS PULLING AWAY FROM T

Injury or illness

CUT LACERATION

Object or substance involved

EQUIPMENT(POWER)

Summary line

I WAS CALLED TO RECEIVING AND INFORMED THAT HAD FALLEN OFF THE BACK OF A TRAILER WHILE ON THE [REDACTED] WHILE THE DRIVER WAS PULLING AWAY FROM T

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
452910 — Warehouse Clubs and Supercenters
NAICS vintage
2012
Avg employees
205
Total hours worked
328355
EIN
710794414
Establishment ID
1218410
Employer case #
C3543380

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
5:45:00.000
Filing year
2023
Submitted
11MAR24:21:46:00

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WM 6621

View WM 6621's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.

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