San Jose, CA —
OSHA Injury Report: Pacific Supply - San Jose
Injury · Days away from work
At a glance
On , an injury at Pacific Supply - San Jose in San Jose, CA 95112 resulted in days away from work. Employee was material Handler in building materials supply dealers.
Where did this happen?
- Establishment
- Pacific Supply - San Jose
- Parent company
- Pacific Coast Supply, LLC
- Street
- 2070 South 7th St. Suite E
- City
- San Jose
- State
- CA
- ZIP
- 95112
- On-site location
- 1390 Kern Ave. Gilory CA 95020
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 100
Before the incident
climbing up a ladder
What happened
Fell off an extension ladder to injure is right knee
Injury or illness
Fracture - Knee
Object or substance involved
Ground Hole
Summary line
Fell off an extension ladder to injure is right knee
Employee and industry
- Job description
- Material Handler
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 444190 — Building materials supply dealers
- NAICS vintage
- 2017
- Avg employees
- 25
- Total hours worked
- 52198
- Establishment ID
- 986453
- Employer case #
- 009395-000
When (timing detail)
- Date of incident
- Shift started
- 5:30:00.000
- Time of incident
- 10:20:00.000
- Submitted
- 29FEB24:00:01:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.