VAN NUYS, CA ·
OSHA Injury Report: 0048 - VAN NUYS CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0048 - VAN NUYS CA in 6100 SEPULVEDA BLVD, VAN NUYS, CA 99208 resulted in job transfer or restriction. Employee was membership clerk 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
- MEMBERSHIP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 86
Before the incident
Helping a Member
What happened
[REDACTED] was moving a rug she pulled it walking backwards and she tripped on the rubber floor mat twisted her ankle fell t
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Shoulder Right Side Object Handled Floor Walking Surface
Employee and industry
- Job description
- MEMBERSHIP CLERK
- SOC code
- 9999: Uncoded
- 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 #
- WC608G5364
When (timing detail)
- Date of incident
- Shift started
- 12:15
- Time of incident
- 17:55
- 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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