SUNNYVALE, CA —
OSHA Injury Report: 0423 - SUNNYVALE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0423 - SUNNYVALE CA in SUNNYVALE, CA 95815 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0423 - SUNNYVALE CA
- Parent company
- Costco Wholesale
- Street
- 150 LAWRENCE STATION RD
- City
- SUNNYVALE
- State
- CA
- ZIP
- 95815
- On-site location
- Deli prep room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
prepping salads
What happened
while pulling down a bowl from the top shelf white cutting board fell on her left arm
Injury or illness
Bruise or Contusion Arm Left Side
Object or substance involved
Rack
Summary line
Bruise or Contusion Arm Left Side Pulling Rack
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 392
- Total hours worked
- 624392
- EIN
- 911223280
- Establishment ID
- 1217126
- Employer case #
- WC608G2948
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 5:40:00.000
- 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.