SAN DIEGO, CA —
OSHA Injury Report: 0401 - MORENA CA
Injury · Days away from work
At a glance
On , an injury at 0401 - MORENA CA in SAN DIEGO, CA 92553 resulted in days away from work. Employee was mGR DEPT W OT in wholesale Grocer.
Where did this happen?
- Establishment
- 0401 - MORENA CA
- Parent company
- Costco Wholesale
- Street
- 4605 MORENA BOULEVARD
- City
- SAN DIEGO
- State
- CA
- ZIP
- 92553
- On-site location
- Tire Center Bay 2
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 169
Before the incident
Unlatching safety chain of bay 2
What happened
I was behind a car in [REDACTED] [REDACTED] slipped very quickly and left knee was under me landed on right arm
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 423
- Total hours worked
- 636297
- EIN
- 911223280
- Establishment ID
- 1217233
- Employer case #
- WC608G2184
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 12:00:00.000
- Submitted
- 04MAR24:19:34:00
Source
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.