ANTIOCH, CA —
OSHA Injury Report: 1002 ANTIOCH CA WHSE
Injury · Days away from work
At a glance
On , an injury at 1002 ANTIOCH CA WHSE in ANTIOCH, CA 94509 resulted in days away from work. Employee was mAINTENANCE CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1002 ANTIOCH CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2201 VERNE ROBERTS CIRCLE
- City
- ANTIOCH
- State
- CA
- ZIP
- 94509
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 82
- Days restricted or transferred
- 60
Before the incident
On the scissor lift
What happened
EE was using the scissor lift and jumped from the last step causing impact to the right knee
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Forklift
Summary line
Strain Sprain Knee Right Side Stepped In On or Off Forklift
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
- 409
- Total hours worked
- 622075
- EIN
- 911223280
- Establishment ID
- 1378685
- Employer case #
- WC608G9263
When (timing detail)
- Date of incident
- Shift started
- 4:15
- Time of incident
- 10:00
- 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.