VAN NUYS, CA ·
OSHA Injury Report: 0048 - VAN NUYS CA
Injury · Days away from work
At a glance
On , an injury at 0048 - VAN NUYS CA in 6100 SEPULVEDA BLVD, VAN NUYS, CA 99208 resulted in days away from work. Employee was maintenance asst in wholesale Grocer.
Where did this happen?
- Establishment
- 0048 - VAN NUYS CA
- Parent company
- Costco Wholesale
- Street
- 6100 SEPULVEDA BLVD
- City
- VAN NUYS
- State
- CA
- ZIP
- 99208
- On-site location
- center of the store seasonal
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 147
- Days restricted or transferred
- 84
Before the incident
putting lights up inside gazebo
What happened
EE was under gazebo putting light up and turned while on ladder and ladder started to slide
Injury or illness
Bruise or Contusion Back Lower
Object or substance involved
Ladder Stepstool
Summary line
Bruise or Contusion Back Lower Fall from ladder stepstool Ladder Stepstool
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071: Maintenance and Repair Workers, General
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 443
- Hours worked at this establishment (2023 total)
- 641,987
- EIN
- 911223280
- Establishment ID
- 1217040
- Employer case #
- WC608G2528
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 08:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0048 - VAN Nuys CA
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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