MARINA DEL RAY, CA —
OSHA Injury Report: 0479 - CULVER CITY CA
Injury · Other recordable case
At a glance
On , an injury at 0479 - CULVER CITY CA in MARINA DEL RAY, CA 84790 resulted in other recordable case. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0479 - CULVER CITY CA
- Parent company
- Costco Wholesale
- Street
- 13463 WASHINGTON BLVD
- City
- MARINA DEL RAY
- State
- CA
- ZIP
- 84790
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
working
What happened
plugging in palllet and pushed to hard and got a pain on elbow tricep and bicep
Injury or illness
Inflammation swelling Elbow Right Side
Object or substance involved
Pallet Jack Manual
Summary line
Inflammation swelling Elbow Right Side Pushing Pallet Jack Manual
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
- 553
- Total hours worked
- 800339
- EIN
- 911223280
- Establishment ID
- 1217366
- Employer case #
- WC608G4566
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 16:15:00.000
- Submitted
- 04MAR24:19:35:00
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.