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 mGR ASST DEPT 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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 19
- Days restricted or transferred
- 84
Before the incident
working
What happened
standing next to a stack of empty pallets when a forklift driver bumbped stack pallet fell and hit [REDACTED] on the head
Injury or illness
Headache Head
Object or substance involved
Pallet
Summary line
Headache Head Struck by a Moving Object Pallet
Employee and industry
- Job description
- MGR ASST DEPT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 404
- Total hours worked
- 580358
- EIN
- 911223280
- Establishment ID
- 1378489
- Employer case #
- WC608H898
When (timing detail)
- Date of incident
- Time of incident
- 22:15
- 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.