FAIRFIELD, CA —
OSHA Injury Report: 0453 - FAIRFIELD CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0453 - FAIRFIELD CA in FAIRFIELD, CA 85027 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0453 - FAIRFIELD CA
- Parent company
- Costco Wholesale
- Street
- 5101 BUSINESS CENTER DR
- City
- FAIRFIELD
- State
- CA
- ZIP
- 85027
- On-site location
- Chicken Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
walking through the chicken room
What happened
Slipped and fell in chicken room
Injury or illness
Bruise or Contusion Arm Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Arm Right and Left Side Fall from Same Level Floor Walking Surface
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
- 243
- Total hours worked
- 367518
- EIN
- 911223280
- Establishment ID
- 1217360
- Employer case #
- WC608G2774
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 15:45:00.000
- 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.