POWAY, CA —
OSHA Injury Report: 0775 POWAY CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0775 POWAY CA WHSE in POWAY, CA 92064 resulted in job transfer or restriction. Employee was mAINTENANCE CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0775 POWAY CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 12155 TECH CENTER DRIVE
- City
- POWAY
- State
- CA
- ZIP
- 92064
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
Driving the scissor lift
What happened
Employee was driving scissor lift and drove over a piece of wood which knocked him from one side to the other
Injury or illness
Inflammation swelling Elbow Right Side
Object or substance involved
Scissor Lift
Summary line
Inflammation swelling Elbow Right Side Jarring Bouncing Scissor Lift
Employee and industry
- Job description
- MAINTENANCE CLERK
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 332
- Total hours worked
- 519835
- EIN
- 911223280
- Establishment ID
- 1378658
- Employer case #
- WC608H0970
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.