SAN LEANDRO, CA ·
OSHA Injury Report: 0118 SAN LEANDRO CA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0118 SAN LEANDRO CA WHSE in 1900 DAVIS STREET, SAN LEANDRO, CA 94577 resulted in other recordable case. Employee was tire installer in wholesale Grocer.
Where did this happen?
- Establishment
- 0118 SAN LEANDRO CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1900 DAVIS STREET
- City
- SAN LEANDRO
- State
- CA
- ZIP
- 94577
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
breaking down a box
What happened
[REDACTED] was breaking down a box and it ricocheted right into his chin and chipped his tooth
Injury or illness
Fracture Teeth
Object or substance involved
Cardboard
Summary line
Fracture Teeth Holding or Carrying Cardboard
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 481
- Hours worked at this establishment (2024 total)
- 734,374
- EIN
- 911223280
- Establishment ID
- 1378323
- Employer case #
- WC608H0724
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 18:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0118 SAN Leandro 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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