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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0141 - NOVATO CA

Injury · Job transfer or restriction

On , an injury at 0141 - NOVATO CA in NOVATO, CA 95112 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.

Establishment
0141 - NOVATO CA
Parent company
Costco Wholesale
Street
300 VINTAGE WAY
City
NOVATO
State
CA
ZIP
95112
On-site location
TIRE SHOP
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
50

working

ee report he was working on a car and felt a strain in his right knee resulting in injury that is unresolved with self

Strain Sprain Knee Right Side

Tire

Strain Sprain Knee Right Side Lifting Tire

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
322
Total hours worked
532530
EIN
911223280
Establishment ID
1217159
Employer case #
WC608G4826
Date of incident
Shift started
8:45:00.000
Time of incident
13:30:00.000
Submitted
04MAR24:19:29:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.