NOVATO, CA ·
OSHA Injury Report: 0141 NOVATO CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0141 NOVATO CA WHSE in 300 VINTAGE WAY, NOVATO, CA 94945 resulted in job transfer or restriction. Employee was MGR dept W OT in wholesale Grocer.
Where did this happen?
- Establishment
- 0141 NOVATO CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 300 VINTAGE WAY
- City
- NOVATO
- State
- CA
- ZIP
- 94945
- On-site location
- FOODS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 17
Before the incident
stocking
What happened
I was lifting olive oil boxes then 50lbs of rice Then i tried lifting my right arm and
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Lifting Merchandise
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999: Uncoded
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 360
- Hours worked at this establishment (2024 total)
- 536,635
- EIN
- 911223280
- Establishment ID
- 1378338
- Employer case #
- WC608H5306
When (timing detail)
- Date of incident
- Time of incident
- 05:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0141 Novato 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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