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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0453 - FAIRFIELD CA

Injury · Days away from work

On , an injury at 0453 - FAIRFIELD CA in FAIRFIELD, CA 85027 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.

Establishment
0453 - FAIRFIELD CA
Parent company
Costco Wholesale
Street
5101 BUSINESS CENTER DR
City
FAIRFIELD
State
CA
ZIP
85027
On-site location
Gas station
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
30

Cleaning a gas spill

Employee slipped and fell while cleaning up a gas spill Lacerated back of head

Laceration Head

Parking Lot

Laceration Head Fall from Same Level Parking Lot

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
243
Total hours worked
367518
EIN
911223280
Establishment ID
1217360
Employer case #
WC608G2663
Date of incident
Shift started
4:15:00.000
Time of incident
10:20:00.000
Submitted
04MAR24:19:34:00

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.