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 cake decorator 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
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 18
- Days restricted or transferred
- 62
Before the incident
pulling a rack
What happened
Slipped while trying to pull a rack in the freezer
Injury or illness
Bruise or Contusion Back Lower Right Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092: Food Batchmakers
- 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 #
- WC608G7135
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
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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