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 sUP HOURLY 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
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 24
Before the incident
taking the trash out
What happened
Taking boxes to the trash slipped inside the food court between the oven and the prep table
Injury or illness
Inflammation swelling Hip Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Hip Right Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 412
- Total hours worked
- 614920
- EIN
- 911223280
- Establishment ID
- 1217365
- Employer case #
- WC608G4426
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 21:00:00.000
- 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.