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 maintenance 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
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 135
Before the incident
installing light fixture
What happened
installing a light fixture display pulled on it and fell with fixture
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Back Lower Right and Left Side Climbing Pallet
Employee and industry
- Job description
- MAINTENANCE CLERK
- SOC code
- 49-9071: Maintenance and Repair Workers, General
- 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 #
- WC608G4870
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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