PACOIMA, CA —
OSHA Injury Report: 1071 - PACOIMA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1071 - PACOIMA CA in PACOIMA, CA 46530 resulted in job transfer or restriction. Employee was fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 71
Before the incident
bringing the dough into the kitchen
What happened
Boxes of dough tipped over injured right shoulder trying to hold it up
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Right Side Struck by a Moving Object Merchandise
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 383
- Total hours worked
- 586146
- EIN
- 911223280
- Establishment ID
- 1217675
- Employer case #
- WC608G4217
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 13:00:00.000
- 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.