FOUNTAIN VALLEY, CA —
OSHA Injury Report: 0411 - FOUNTAIN VALLEY CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0411 - FOUNTAIN VALLEY CA in FOUNTAIN VALLEY, CA 85008 resulted in job transfer or restriction. Employee was mAINTENANCE ASST 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
- BAKERY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
Pushing Pallet
What happened
Employee dropped pallet of pumk in on employees foot
Injury or illness
Bruise or Contusion Foot Right Side
Object or substance involved
Pallet
Summary line
Bruise or Contusion Foot Right Side Struck by a falling or flying object Pallet
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 412
- Total hours worked
- 614920
- EIN
- 911223280
- Establishment ID
- 1217365
- Employer case #
- WC608G7318
When (timing detail)
- Date of incident
- Shift started
- 0:15:00.000
- Time of incident
- 3:45:00.000
- 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.