NOVATO, CA ·
OSHA Injury Report: 0141 NOVATO CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0141 NOVATO CA WHSE in 300 VINTAGE WAY, NOVATO, CA 94945 resulted in days away from work. Employee was maintenance asst in wholesale Grocer.
Where did this happen?
- Establishment
- 0141 NOVATO CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 300 VINTAGE WAY
- City
- NOVATO
- State
- CA
- ZIP
- 94945
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
- Days restricted or transferred
- 125
Before the incident
cleaning
What happened
washing scrubber stood on metal part to get height to clode lid she then slipped and fell
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Floor Scrubber Sit Down
Summary line
Strain Sprain Knee Left Side Fall from Different Level Floor Scrubber Sit Down
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 37-2011: Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 359
- Hours worked at this establishment (2025 total)
- 524,484
- EIN
- 911223280
- Establishment ID
- 1378338
- Employer case #
- WC608H628
When (timing detail)
- Date of incident
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 0141 Novato 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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