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
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 35
Before the incident
working in the chicken room
What happened
Lower back pain on right side pain is going down to right knee
Injury or illness
Inflammation swelling Back Lower Right Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Inflammation swelling Back Lower Right Side Extreme Temperature Deli Rotisserie Skewer
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 #
- WC608G6419
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 12:00:00.000
- 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.