MONTCLAIR, CA —
OSHA Injury Report: 0686 MONTCLAIR CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0686 MONTCLAIR CA WHSE in MONTCLAIR, CA 91763 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0686 MONTCLAIR CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 9404 CENTRAL AVENUE
- City
- MONTCLAIR
- State
- CA
- ZIP
- 91763
- On-site location
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 57
- Days restricted or transferred
- 103
Before the incident
getting off the steel
What happened
Employee getting off the steel employee stepped on forklift forks when he fell
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Forklift
Summary line
Strain Sprain Knee Left Side Caught In or Between Forklift
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 322
- Total hours worked
- 471349
- EIN
- 911223280
- Establishment ID
- 1378614
- Employer case #
- WC608H0719
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 7:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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.