SIMI VALLEY, CA ·
OSHA Injury Report: 0128 SIMI VALLEY CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0128 SIMI VALLEY CA WHSE in 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 93065 resulted in job transfer or restriction. Employee was tire installer 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
kneeling
What happened
Kneeling down under car continuously caused knee pain
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Left Side Standing Floor Walking Surface
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- 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 #
- WC608H883
When (timing detail)
- Date of incident
- Time of incident
- 10:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 0128 Simi Valley CA Whse
View 0128 Simi Valley CA Whse's full OSHA safety record →
More injuries in this industry (NAICS 455211)
More injuries in CA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.