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 MGR temporary W OT 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
- MAJORS SALES
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 107
Before the incident
Building some shelf steel
What happened
I WAS WORKING WITH MY MGR BUILDING SOME SHELF STEEL AND 1 OF THE ORANGES BEAMS WENT INSIDE MY L leg
Injury or illness
Laceration Leg Left Side
Object or substance involved
Steel Load Beams
Summary line
Laceration Leg Left Side Caught by Fixed Object Steel Load Beams
Employee and industry
- Job description
- MGR TEMPORARY W OT
- SOC code
- 9999: Uncoded
- 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 #
- WC608G4222
When (timing detail)
- Date of incident
- Shift started
- 03:00
- Time of incident
- 06:37
- 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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