FOUNTAIN VALLEY, CA —
OSHA Injury Report: 0411 FOUNTAIN VALLEY CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0411 FOUNTAIN VALLEY CA WHSE in FOUNTAIN VALLEY, CA 92708 resulted in job transfer or restriction. Employee was mAINTENANCE CLERK 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
- OUTSIDE PERIMETER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
[REDACTED] had been cleaning and organizing the buildings pallet yard
What happened
A sharp piece of metal caught his left forearm causing a 2 inch long laceration
Injury or illness
Laceration Forearms Left Side
Object or substance involved
T Bar
Summary line
Laceration Forearms Left Side Caught by Fixed Object T Bar
Employee and industry
- Job description
- MAINTENANCE CLERK
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 404
- Total hours worked
- 580358
- EIN
- 911223280
- Establishment ID
- 1378489
- Employer case #
- WC608P028
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 10:55
- 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.