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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0661 MODESTO CA WHSE

Injury · Days away from work

On , an injury at 0661 MODESTO CA WHSE in MODESTO, CA 95356 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Establishment
0661 MODESTO CA WHSE
Parent company
COSTCO WHOLESALE
Street
3801 PELANDALE AVE
City
MODESTO
State
CA
ZIP
95356
On-site location
SERVICE DELI
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
90

Changing out emply CIP oven cleaner

Removing empty CIP The safety screw on valves were off remaining chemical in tube splashed into eye chemical burn

Burn Eye Right Side

Chemicals

Burn Eye Right Side Contact with Chemical Chemicals

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
358
Total hours worked
519379
EIN
911223280
Establishment ID
1378590
Employer case #
WC608H5142
Date of incident
Shift started
14:00
Time of incident
19:45
Filing year
2024
Submitted
28FEB2025:21:42:00

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.