LAKEWOOD, CA —
OSHA Injury Report: 1050 - LAKEWOOD CA
Injury · Other recordable case
At a glance
On , an injury at 1050 - LAKEWOOD CA in LAKEWOOD, CA 40509 resulted in other recordable case. Employee was cASHIER ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 1050 - LAKEWOOD CA
- Parent company
- Costco Wholesale
- Street
- 340 LAKEWOOD CENTER MALL
- City
- LAKEWOOD
- State
- CA
- ZIP
- 40509
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working in Deli
What happened
Went to wash dishes and slipped on water on floor and hit back on mixer
Injury or illness
Inflammation swelling Back Upper Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Back Upper Right and Left Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 389
- Total hours worked
- 577901
- EIN
- 911223280
- Establishment ID
- 1217716
- Employer case #
- WC608G8061
When (timing detail)
- Date of incident
- Shift started
- 18:00:00.000
- Time of incident
- 20:15:00.000
- Submitted
- 04MAR24:19:24:00
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.