NOVATO, CA ·
OSHA Injury Report: 0141 - NOVATO CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0141 - NOVATO CA in 300 VINTAGE WAY, NOVATO, CA 95112 resulted in job transfer or restriction. Employee was SUP hourly 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
- BAKERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 35
Before the incident
stocking the self
What happened
box of beer failed on bottom spilling about 6 bottle which shattered on floor glass piece bounced up cut ee hand
Injury or illness
Laceration Hand Left Side
Object or substance involved
Merchandise
Summary line
Laceration Hand Left Side Lifting Merchandise
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- 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 #
- WC608G5714
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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