MONTCLAIR, CA —
OSHA Injury Report: 0686 MONTCLAIR CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0686 MONTCLAIR CA WHSE in MONTCLAIR, CA 91763 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0686 MONTCLAIR CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 9404 CENTRAL AVENUE
- City
- MONTCLAIR
- State
- CA
- ZIP
- 91763
- On-site location
- Per employee statement "Employee was at home "
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 51
- Days restricted or transferred
- 77
Before the incident
Driving a forklift
What happened
Driving Forklift then at name felt the back pain
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Left Side Stepped In On or Off Forklift
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 321
- Total hours worked
- 473040
- EIN
- 911223280
- Establishment ID
- 1378614
- Employer case #
- WC608H904
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 0:00
- 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.