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 sTOCKER 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
- Aisle 312 end cap
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 35
Before the incident
talking to a forklift driver
What happened
Employee was talking with forklift driver walking backwards walked into a pallet lost balance fell backwards hit back
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Pallet
Summary line
Bruise or Contusion Back Lower Right and Left Side Stepped In On or Off Pallet
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 412
- Total hours worked
- 614920
- EIN
- 911223280
- Establishment ID
- 1217365
- Employer case #
- WC608G2318
When (timing detail)
- Date of incident
- Shift started
- 3:15:00.000
- Time of incident
- 7:20:00.000
- 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.