NOVATO, CA ·
OSHA Injury Report: 0141 - NOVATO CA
Injury · Days away from work
At a glance
On , an injury at 0141 - NOVATO CA in 300 VINTAGE WAY, NOVATO, CA 95112 resulted in days away from work. Employee was stocker in wholesale Grocer.
Where did this happen?
- Establishment
- 0141 - NOVATO CA
- Parent company
- Costco Wholesale
- Street
- 300 VINTAGE WAY
- City
- NOVATO
- State
- CA
- ZIP
- 95112
- On-site location
- HARDLINES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 47
- Days restricted or transferred
- 133
Before the incident
Using pallet [REDACTED]
What happened
was using a pallet jack that jamed after lowering it to pull it out and it tweaked his shoulder
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Pallet Jack Manual
Summary line
Strain Sprain Shoulder Left Side Pulling Pallet Jack Manual
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 322
- Hours worked at this establishment (2023 total)
- 532,530
- EIN
- 911223280
- Establishment ID
- 1217159
- Employer case #
- WC608G4585
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 0141 - Novato 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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