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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0686 MONTCLAIR CA WHSE

Injury · Other recordable case

On , an injury at 0686 MONTCLAIR CA WHSE in MONTCLAIR, CA 91763 resulted in other recordable case. Employee was fOOD SERVICE in wholesale Grocer.

Establishment
0686 MONTCLAIR CA WHSE
Parent company
COSTCO WHOLESALE
Street
9404 CENTRAL AVENUE
City
MONTCLAIR
State
CA
ZIP
91763
On-site location
FOOD COURT
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Sweeping the floor

EE was sweeping the floor around the oven and hot hit in the head with a pizza paddle

Headache Head

Foreign Body

Headache Head Struck by a Moving Object Foreign Body

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
322
Total hours worked
471349
EIN
911223280
Establishment ID
1378614
Employer case #
WC608H5844
Date of incident
Shift started
10:00
Time of incident
18:15
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.