SAN LEANDRO, CA ·
OSHA Injury Report: 0118 - SAN LEANDRO CA
Injury · Days away from work
At a glance
On , an injury at 0118 - SAN LEANDRO CA in 1900 DAVIS STREET, SAN LEANDRO, CA 89705 resulted in days away from work. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 0118 - SAN LEANDRO CA
- Parent company
- Costco Wholesale
- Street
- 1900 DAVIS STREET
- City
- SAN LEANDRO
- State
- CA
- ZIP
- 89705
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Cleaning in the Bakery department
What happened
While cleaning a leak by the sink in the bakery an employee slipped on water and hit head on metal trash bin
Injury or illness
Bruise or Contusion Head Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Head Right Side Fall from Same Level Floor Walking Surface
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
- Employees at this establishment (2023 average)
- 474
- Hours worked at this establishment (2023 total)
- 725,519
- EIN
- 911223280
- Establishment ID
- 1217314
- Employer case #
- WC608G7982
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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