AZUSA, CA —
OSHA Injury Report: 0412 - AZUSA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0412 - AZUSA CA in AZUSA, CA 86301 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0412 - AZUSA CA
- Parent company
- Costco Wholesale
- Street
- 1220 WEST FOOTHILL BLVD
- City
- AZUSA
- State
- CA
- ZIP
- 86301
- On-site location
- WALK IN FREEZER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 22
Before the incident
Forklift Driver
What happened
I am the freezer driver I was picking up some merchandise that had fallen off of the pallet when I fell
Injury or illness
Strain Sprain Back Upper Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Upper Right Side Fall from Same Level Merchandise
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 351
- Total hours worked
- 520722
- EIN
- 911223280
- Establishment ID
- 1217334
- Employer case #
- WC608G4414
When (timing detail)
- Date of incident
- Time of incident
- 8:30:00.000
- 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.