SIMI VALLEY, CA ·
OSHA Injury Report: 0128 - SIMI VALLEY CA
Injury · Days away from work
At a glance
On , an injury at 0128 - SIMI VALLEY CA in 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 94945 resulted in days away from work. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0128 - SIMI VALLEY CA
- Parent company
- Costco Wholesale
- Street
- 2660 PARK CENTER DRIVE
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 94945
- On-site location
- FOOD SERVICE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Lifting
What happened
Lifting in the deli
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Lifting Merchandise
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 325
- Hours worked at this establishment (2023 total)
- 472,401
- EIN
- 911223280
- Establishment ID
- 1217165
- Employer case #
- WC608G3257
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
More injuries at 0128 - Simi Valley CA
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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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