FOUNTAIN VALLEY, CA —
OSHA Injury Report: 0411 FOUNTAIN VALLEY CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0411 FOUNTAIN VALLEY CA WHSE in FOUNTAIN VALLEY, CA 92708 resulted in days away from work. Employee was bAKERY WRAPPER in wholesale Grocer.
Where did this happen?
- Establishment
- 0411 FOUNTAIN VALLEY CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 17900 NEWHOPE STREET
- City
- FOUNTAIN VALLEY
- State
- CA
- ZIP
- 92708
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 73
Before the incident
[REDACTED] was working in the bakery moving racks around when one got stuck on the floor and he felt a strain in his lower back
What happened
Employee was pulling a rack in the bakery when he felt a sharp pain go down his lower back
Injury or illness
Strain Sprain Buttocks Right Side
Object or substance involved
Rack
Summary line
Strain Sprain Buttocks Right Side Twisted Rack
Employee and industry
- Job description
- BAKERY WRAPPER
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 404
- Total hours worked
- 580358
- EIN
- 911223280
- Establishment ID
- 1378489
- Employer case #
- WC608P057
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 8:30
- 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.