MOUNTAIN VIEW, CA ·
OSHA Injury Report: 0143 MOUNTAIN VIEW CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0143 MOUNTAIN VIEW CA WHSE in 1000 N RENGSTORFF, MOUNTAIN VIEW, CA 94043 resulted in job transfer or restriction. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 0143 MOUNTAIN VIEW CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1000 N RENGSTORFF
- City
- MOUNTAIN VIEW
- State
- CA
- ZIP
- 94043
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 37
Before the incident
Wrapping a pallet
What happened
Was wrapping a pallet when struck by forklift
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Right and Left Side Struck by a falling or flying object Forklift
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 342
- Hours worked at this establishment (2024 total)
- 553,897
- EIN
- 911223280
- Establishment ID
- 1378340
- Employer case #
- WC608H4947
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 21:48
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at 0143 Mountain View 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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