SAN LEANDRO, CA ·
OSHA Injury Report: 0118 - SAN LEANDRO CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0118 - SAN LEANDRO CA in 1900 DAVIS STREET, SAN LEANDRO, CA 89705 resulted in job transfer or restriction. Employee was forklift driver 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 21
Before the incident
parked on a EPJ
What happened
While on a EPJ parked a forklift driver hit the EPJ whileI was on it
Injury or illness
Inflammation swelling Knee Left Side
Object or substance involved
Forklift
Summary line
Inflammation swelling Knee Left Side Jarring Bouncing Forklift
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- 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 #
- WC608G5159
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 09:50
- 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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