FOUNTAIN VALLEY, CA —
OSHA Injury Report: 0411 - FOUNTAIN VALLEY CA
Injury · Days away from work
At a glance
On , an injury at 0411 - FOUNTAIN VALLEY CA in FOUNTAIN VALLEY, CA 85008 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0411 - FOUNTAIN VALLEY CA
- Parent company
- Costco Wholesale
- Street
- 17900 NEWHOPE STREET
- City
- FOUNTAIN VALLEY
- State
- CA
- ZIP
- 85008
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 126
- Days restricted or transferred
- 91
Before the incident
Installing tire
What happened
Installing tire and hurt back
Injury or illness
Inflammation swelling Back Lower
Object or substance involved
Tire
Summary line
Inflammation swelling Back Lower Twisted Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 412
- Total hours worked
- 614920
- EIN
- 911223280
- Establishment ID
- 1217365
- Employer case #
- WC608G5065
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 17:50:00.000
- 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.