SAN JOSE, CA —
OSHA Injury Report: 1004 NORTHEAST SAN JOSE CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1004 NORTHEAST SAN JOSE CA WHSE in SAN JOSE, CA 95131 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 1004 NORTHEAST SAN JOSE CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1709 AUTOMATION PARKWAY
- City
- SAN JOSE
- State
- CA
- ZIP
- 95131
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 76
Before the incident
working in deli
What happened
Employee was pulling chicken when they felt a pain in their back
Injury or illness
Strain Sprain Back Upper Right Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Back Upper Right Side Lifting Deli Rotisserie Skewer
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 378
- Total hours worked
- 603484
- EIN
- 911223280
- Establishment ID
- 1378687
- Employer case #
- WC608H2795
When (timing detail)
- Date of incident
- Time of incident
- 19:00
- 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.