SAN JOSE, CA ·
OSHA Injury Report: 0148 - SAN JOSE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0148 - SAN JOSE CA in 2201 SENTER ROAD, SAN JOSE, CA 30096 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0148 - SAN JOSE CA
- Parent company
- Costco Wholesale
- Street
- 2201 SENTER ROAD
- City
- SAN JOSE
- State
- CA
- ZIP
- 30096
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 29
Before the incident
taking chickens out of oven
What happened
slipped and fell when he swiveled after taking chicken out of oven
Injury or illness
Strain Sprain Back Upper
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Upper Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 380
- Hours worked at this establishment (2023 total)
- 584,684
- EIN
- 911223280
- Establishment ID
- 1217844
- Employer case #
- WC608G8182
When (timing detail)
- Date of incident
- Shift started
- 05:30
- Time of incident
- 14:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0148 - SAN Jose 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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