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 cASHIER 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
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 111
- Days restricted or transferred
- 34
Before the incident
Taking a step backwards
What happened
Employee tripped as she was walking backwards and fell and hit her head
Injury or illness
Bruise or Contusion Head
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Head Right and Left Side Fall from Same Level Foreign Body
Employee and industry
- Job description
- CASHIER
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 322
- Total hours worked
- 471349
- EIN
- 911223280
- Establishment ID
- 1378614
- Employer case #
- WC608G8627
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 12:12
- 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.