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 tire installer 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 50
Before the incident
working
What happened
ee report he was working on a car and felt a strain in his right knee resulting in injury that is unresolved with self
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Tire
Summary line
Strain Sprain Knee Right Side Lifting Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- 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 #
- WC608G4826
When (timing detail)
- Date of incident
- Shift started
- 08:45
- Time of incident
- 13:30
- 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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