SAN JOSE, CA —
OSHA Injury Report: 1004 - NORTHEAST SAN JOSE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1004 - NORTHEAST SAN JOSE CA in SAN JOSE, CA 30319 resulted in job transfer or restriction. Employee was sTOCKER 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
- DRY GOODS
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
He was blocking down the seasonal candy area at the moment
What happened
[REDACTED] was lifting a box of choclates in center across departemnt 19 He felt his shoulder pop out of place and he put bac
Injury or illness
Dislocation Shoulder Left Side
Object or substance involved
Merchandise
Summary line
Dislocation Shoulder Left Side Lifting Merchandise
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 378
- Total hours worked
- 610844
- EIN
- 911223280
- Establishment ID
- 1217835
- Employer case #
- WC608G8167
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 16:30:00.000
- 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.