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 sUP HOURLY 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
- Self Checkout
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
[REDACTED] was on lunch
What happened
[REDACTED] was working at self checkout when his back gave out
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Register Scanner
Summary line
Strain Sprain Back Lower Left Side Repetitive Motion Register Scanner
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of 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 #
- WC608G7075
When (timing detail)
- Date of incident
- Shift started
- 10:30:00.000
- Time of incident
- 15:30:00.000
- 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.