MODESTO, CA —
OSHA Injury Report: 0661 - MODESTO CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0661 - MODESTO CA in MODESTO, CA 98034 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0661 - MODESTO CA
- Parent company
- Costco Wholesale
- Street
- 3801 PELANDALE AVE
- City
- MODESTO
- State
- CA
- ZIP
- 98034
- On-site location
- Food Court
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
spraying water
What happened
was reaching for the water hose went towards the drain to spray it and I heard my shoulder pop
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Maintenance Housekeeping
Summary line
Strain Sprain Shoulder Left Side Holding or Carrying Maintenance Housekeeping
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 421
- Total hours worked
- 616754
- EIN
- 911223280
- Establishment ID
- 1217074
- Employer case #
- WC608G2921
When (timing detail)
- Date of incident
- Shift started
- 1:00:00.000
- Time of incident
- 21:15:00.000
- Submitted
- 04MAR24:19:37:00
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.