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 cashier 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
- Foods Aisle 104
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 126
- Days restricted or transferred
- 150
Before the incident
[REDACTED] was blocking down [REDACTED] 104
What happened
[REDACTED] was blocking down in the foods aisle when he felt a rug hit him on the Head
Injury or illness
Strain Sprain Neck Right and Left Side
Object or substance involved
Member
Summary line
Strain Sprain Neck Right and Left Side Struck by a Moving Object Member
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011: Cashiers
- 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 #
- WC608G2920
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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