SAN LUIS OBISPO, CA —
OSHA Injury Report: 0741 SAN LUIS OBISPO CA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0741 SAN LUIS OBISPO CA WHSE in SAN LUIS OBISPO, CA 93405 resulted in other recordable case. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0741 SAN LUIS OBISPO CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1540 FROOM RANCH WAY
- City
- SAN LUIS OBISPO
- State
- CA
- ZIP
- 93405
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
REMOVING TIRE FROM INFLATION CAGE
What happened
CONCUSSION FROM HEADSTRIKE ON TIRE MACHINE ARM
Injury or illness
Concussion Head
Object or substance involved
Tire Changer
Summary line
Concussion Head Caught by Fixed Object Tire Changer
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 328
- Total hours worked
- 506423
- EIN
- 911223280
- Establishment ID
- 1378634
- Employer case #
- WC608H0836
When (timing detail)
- Date of incident
- Shift started
- 10:00
- 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.