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 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 93065 resulted in days away from work. Employee was membership clerk 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
- OUTSIDE PERIMETER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
working in dept
What happened
Pushing all carts from parking lot into the cart corral
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Cart
Summary line
Strain Sprain Back Lower Right and Left Side Pushing Cart
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 330
- Hours worked at this establishment (2025 total)
- 477,890
- EIN
- 911223280
- Establishment ID
- 1378332
- Employer case #
- WC608H715
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 09:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 0128 Simi Valley CA Whse
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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