AZUSA, CA —
OSHA Injury Report: 0412 AZUSA CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0412 AZUSA CA WHSE in AZUSA, CA 91702 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0412 AZUSA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1220 WEST FOOTHILL BLVD
- City
- AZUSA
- State
- CA
- ZIP
- 91702
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Cleaning
What happened
[REDACTED] was putting water on the floor during cleanup and slipped twice and landed on her back
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Right and Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 339
- Total hours worked
- 513050
- EIN
- 911223280
- Establishment ID
- 1378490
- Employer case #
- WC608G8251
When (timing detail)
- Date of incident
- Shift started
- 17:00
- Time of incident
- 21:40
- Filing year
- 2024
- Submitted
- 28FEB2025:21:41:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.