San Jose, CA —
OSHA Injury Report: 1267 - GREAT OAKS CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1267 - GREAT OAKS CA in San Jose, CA 23323 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1267 - GREAT OAKS CA
- Parent company
- Costco Wholesale
- Street
- 6898 Raleigh Road
- City
- San Jose
- State
- CA
- ZIP
- 23323
- On-site location
- By pizza table in Food Court
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 51
Before the incident
Making pizzas
What happened
Employee s foot slid on cheese and pepperoni while making pizzas causing him to step awkwardly and cause knee pain
Injury or illness
Bruise or Contusion Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 407
- Total hours worked
- 620186
- EIN
- 911223280
- Establishment ID
- 1217886
- Employer case #
- WC608G2069
When (timing detail)
- Date of incident
- Shift started
- 17:30:00.000
- Time of incident
- 18:15:00.000
- Submitted
- 04MAR24:19:27:00
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.