SAN JOSE, CA —
OSHA Injury Report: 1004 - NORTHEAST SAN JOSE CA
Injury · Days away from work
At a glance
On , an injury at 1004 - NORTHEAST SAN JOSE CA in SAN JOSE, CA 30319 resulted in days away from work. Employee was lOSS PREVENT in wholesale Grocer.
Where did this happen?
- Establishment
- 1004 - NORTHEAST SAN JOSE CA
- Parent company
- Costco Wholesale
- Street
- 1709 AUTOMATION PARKWAY
- City
- SAN JOSE
- State
- CA
- ZIP
- 30319
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
Loss Prevention Stop
What happened
EE was tackled to the ground by a member while trying to get the member off the EE was bit on his right arm
Injury or illness
Laceration Forearms Right Side
Object or substance involved
Member
Summary line
Laceration Forearms Right Side Assault Member
Employee and industry
- Job description
- LOSS PREVENT
- SOC code
- 41-1012 — First-Line Supervisors of Non-Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 378
- Total hours worked
- 610844
- EIN
- 911223280
- Establishment ID
- 1217835
- Employer case #
- WC608G2561
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:07:00.000
- 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.