CYPRESS, CA —
OSHA Injury Report: 0748 CYPRESS CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0748 CYPRESS CA WHSE in CYPRESS, CA 90720 resulted in days away from work. Employee was sALES in wholesale Grocer.
Where did this happen?
- Establishment
- 0748 CYPRESS CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5401 KATELLA AVE
- City
- CYPRESS
- State
- CA
- ZIP
- 90720
- On-site location
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Measuring the width of the aisle with a tape measure
What happened
EE stepped back and tripped over a pallet jack injuring his left elbow arm
Injury or illness
Dislocation Elbow Left Side
Object or substance involved
Pallet Jack Manual
Summary line
Dislocation Elbow Left Side Struck Against a Fixed Object Pallet Jack Manual
Employee and industry
- Job description
- SALES
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 427
- Total hours worked
- 645807
- EIN
- 911223280
- Establishment ID
- 1378641
- Employer case #
- WC608H549
When (timing detail)
- Date of incident
- Shift started
- 3:30
- Time of incident
- 4:00
- 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.