CLM-2025-0189
ClosedCarpenter laceration from table saw during framing operations. Required 12 stitches at UC Davis Medical Center. Employee returned to modified duty after 3 days.
$4,200
total incurred
Sep 22, 2025
Sep 22, 2025
Workers Compensation
WC-2026-005678
Workers Comp — Laceration
Financial Summary
Location of Loss
Pacific Ridge Builders Shop — 4210 Power Inn Rd, Sacramento, CA
Activity Timeline
Injury occurred
Sep 22, 2025 at 1:15 PMCarpenter Mike Torres suffered laceration to left hand from table saw during framing cut. Blade guard was in place but material kicked back.
Medical treatment
Sep 22, 2025 at 2:30 PMTransported to UC Davis Medical Center. Received 12 stitches. No tendon or nerve damage.
Claim filed
Sep 22, 2025 at 5:00 PMDWC-1 form submitted same day. OSHA log updated.
Employee returned to work
Sep 25, 2025 at 8:00 AMModified duty — light work, no power tools for 2 weeks. Cleared by treating physician.
Full duty release
Oct 6, 2025 at 12:00 AMStitches removed. Employee cleared for full duty with no restrictions.
Final payment
Oct 15, 2025 at 12:00 AMAll medical bills paid. Total incurred: $4,200. No lost time beyond 3 days modified duty.
Claim closed
Oct 20, 2025 at 12:00 AMClaim closed with no remaining reserve. Final cost: $4,200.
Claims Adjuster
Robert Hernandez
State Compensation Insurance Fund
Related Policy
Policy #: WC-2026-005678
Effective: Jan 1, 2026 — Jan 1, 2027
Premium: $34,200/yr
active