SIMI VALLEY, CA —
OSHA Injury Report: 0128 SIMI VALLEY CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0128 SIMI VALLEY CA WHSE in SIMI VALLEY, CA 93065 resulted in days away from work. Employee was oPTICIAN LIC in wholesale Grocer.
Where did this happen?
- Establishment
- 0128 SIMI VALLEY CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2660 PARK CENTER DRIVE
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 93065
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 123
- Days restricted or transferred
- 1
Before the incident
walking up staris
What happened
going up the breakroom stairs twisted and landed on knuckles
Injury or illness
Abrasion irritation Hand Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Abrasion irritation Hand Right and Left Side Fall from Stairs Floor Walking Surface
Employee and industry
- Job description
- OPTICIAN LIC
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 330
- Total hours worked
- 477890
- EIN
- 911223280
- Establishment ID
- 1378332
- Employer case #
- WC608P065
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 9:13
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.