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 MGR asst dept 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
- RECEIVING
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 58
Before the incident
moving a box
What happened
[REDACTED] was trying to slide a box and as he pulled the box straps snapped causing him to fall
Injury or illness
Bruise or Contusion Arm Left Side
Object or substance involved
Forklift
Summary line
Bruise or Contusion Arm Left Side Fall from Different Level Forklift
Employee and industry
- Job description
- MGR ASST DEPT
- SOC code
- 9999: Uncoded
- 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 #
- WC608G7934
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 15:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0143 - Mountain View 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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