KAHULUI, MAUI, HI —
OSHA Injury Report: 0119 - MAUI HI
Injury · Days away from work
At a glance
On , an injury at 0119 - MAUI HI in KAHULUI, MAUI, HI 93065 resulted in days away from work. Employee was rTV CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0119 - MAUI HI
- Parent company
- Costco Wholesale
- Street
- 540 HALEAKALA HIGHWAY
- City
- KAHULUI, MAUI
- State
- HI
- ZIP
- 93065
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 78
- Days restricted or transferred
- 82
Before the incident
working on recycling pallet
What happened
Employee stepped backward and tripped on a flatbed causing her to fall and hit her head on the floor
Injury or illness
Bruise or Contusion Head
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Head Right and Left Side Stepped In On or Off Floor Walking Surface
Employee and industry
- Job description
- RTV CLERK
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 456
- Total hours worked
- 682833
- EIN
- 911223280
- Establishment ID
- 1217210
- Employer case #
- WC608G6966
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 8:30:00.000
- Submitted
- 04MAR24:19:26:00
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.