VAN NUYS, CA ·
OSHA Injury Report: 0048 VAN NUYS CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0048 VAN NUYS CA WHSE in 6100 SEPULVEDA BLVD, VAN NUYS, CA 91411 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0048 VAN NUYS CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 6100 SEPULVEDA BLVD
- City
- VAN NUYS
- State
- CA
- ZIP
- 91411
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 50
Before the incident
skewering chickens
What happened
[REDACTED] was skewering a rack of chicken and lost his grip he went to grab the skewer and strained his shoulder
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Cart
Summary line
Strain Sprain Shoulder Reaching Cart
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
- Employees at this establishment (2024 average)
- 433
- Hours worked at this establishment (2024 total)
- 638,099
- EIN
- 911223280
- Establishment ID
- 1378300
- Employer case #
- WC608H0921
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 08:40
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0048 VAN Nuys CA Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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