PACOIMA, CA —
OSHA Injury Report: 1071 PACOIMA CA WHSE
Injury · Days away from work
At a glance
On , an injury at 1071 PACOIMA CA WHSE in PACOIMA, CA 91331 resulted in days away from work. Employee was mEMBERSHIP CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1071 PACOIMA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 13550 WEST PAXTON STREET
- City
- PACOIMA
- State
- CA
- ZIP
- 91331
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 48
- Days restricted or transferred
- 132
Before the incident
Working in membership and went to get promo bags for her department
What happened
Went to get a promo box of bags in the bag area of the tire center walking back step on and slipped
Injury or illness
Bruise or Contusion Hand
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Hand Left Side Stepped In On or Off Floor Walking Surface
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 382
- Total hours worked
- 574212
- EIN
- 911223280
- Establishment ID
- 1378733
- Employer case #
- WC608H687
When (timing detail)
- Date of incident
- Shift started
- 9:45
- Time of incident
- 15:10
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.