SIMI VALLEY, CA ·
OSHA Injury Report: 0128 - SIMI VALLEY CA
Injury · Other recordable case
At a glance
On , an injury at 0128 - SIMI VALLEY CA in 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 94945 resulted in other recordable case. Employee was baker 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
- BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking by [REDACTED]
What happened
walking by one of the bakery racks and arm touched rack and got cut above elbow
Injury or illness
Laceration Elbow Left Side
Object or substance involved
Rack
Summary line
Laceration Elbow Left Side Struck Against a Fixed Object Rack
Employee and industry
- Job description
- BAKER
- SOC code
- 51-3011: Bakers
- 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 #
- WC608G3175
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 08:15
- 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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