PACOIMA, CA —
OSHA Injury Report: 1071 - PACOIMA CA
Injury · Days away from work
At a glance
On , an injury at 1071 - PACOIMA CA in PACOIMA, CA 46530 resulted in days away from work. Employee was bAKER in wholesale Grocer.
Where did this happen?
- Establishment
- 1071 - PACOIMA CA
- Parent company
- Costco Wholesale
- Street
- 13550 WEST PAXTON STREET
- City
- PACOIMA
- State
- CA
- ZIP
- 46530
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 74
Before the incident
Mixing
What happened
While the employee was mixing he felt a very sharp pain in his left lower stomach
Injury or illness
Hernia Groin Left Side
Object or substance involved
Bakery Mixer
Summary line
[REDACTED] Left Side Lifting [REDACTED]
Employee and industry
- Job description
- BAKER
- SOC code
- 51-3011 — Bakers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 383
- Total hours worked
- 586146
- EIN
- 911223280
- Establishment ID
- 1217675
- Employer case #
- WC608G7204
When (timing detail)
- Date of incident
- Shift started
- 4:30:00.000
- Time of incident
- 7:30:00.000
- Submitted
- 04MAR24:19:25:00
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.