SAN JOSE, CA ·
OSHA Injury Report: 0148 - SAN JOSE CA
Injury · Other recordable case
At a glance
On , an injury at 0148 - SAN JOSE CA in 2201 SENTER ROAD, SAN JOSE, CA 30096 resulted in other recordable case. Employee was maintenance asst 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
- RESTROOMS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cleaning the toilets
What happened
While cleaning the restroom he turned his head and hit the stall door on his forehead
Injury or illness
Laceration Forehead Right Side
Object or substance involved
Door Roll up Door
Summary line
Laceration Forehead Right Side Struck by a Moving Object Door Roll up Door
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071: Maintenance and Repair Workers, General
- 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 #
- WC608G3245
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Time of incident
- 21:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0148 - SAN Jose CA
View 0148 - SAN Jose CA's full OSHA safety record →
More injuries in this industry (NAICS 455211)
More injuries in CA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.