MOUNTAIN VIEW, CA ·
OSHA Injury Report: 0143 - MOUNTAIN VIEW CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0143 - MOUNTAIN VIEW CA in 1000 N RENGSTORFF, MOUNTAIN VIEW, CA 98027 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 0143 - MOUNTAIN VIEW CA
- Parent company
- Costco Wholesale
- Street
- 1000 N RENGSTORFF
- City
- MOUNTAIN VIEW
- State
- CA
- ZIP
- 98027
- On-site location
- Tire Center
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
Using tire iron
What happened
[REDACTED] was using the tire iron and it slipped out while pulling and came back and hit hid lip and chipped tooth
Injury or illness
Laceration Face
Object or substance involved
Tire
Summary line
Laceration Face Pulling Tire
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)
- 343
- Hours worked at this establishment (2023 total)
- 540,990
- EIN
- 911223280
- Establishment ID
- 1217085
- Employer case #
- WC608G1881
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
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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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