ANTIOCH, CA —
OSHA Injury Report: 1002 - ANTIOCH CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1002 - ANTIOCH CA in ANTIOCH, CA 48108 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1002 - ANTIOCH CA
- Parent company
- Costco Wholesale
- Street
- 2201 VERNE ROBERTS CIRCLE
- City
- ANTIOCH
- State
- CA
- ZIP
- 48108
- On-site location
- Food Court Lobby
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 27
Before the incident
cleaning the lobby
What happened
Going to clean a spill in the lobby slipped on ketchup
Injury or illness
Strain Sprain Ankle Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Ankle Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 397
- Total hours worked
- 613041
- EIN
- 911223280
- Establishment ID
- 1217665
- Employer case #
- WC608G2295
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 18:30:00.000
- Submitted
- 04MAR24:19:23:00
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.