MONTCLAIR, CA —
OSHA Injury Report: 0686 - MONTCLAIR CA
Injury · Days away from work
At a glance
On , an injury at 0686 - MONTCLAIR CA in MONTCLAIR, CA 90303 resulted in days away from work. Employee was sTOCKER in wholesale Grocer.
Where did this happen?
- Establishment
- 0686 - MONTCLAIR CA
- Parent company
- Costco Wholesale
- Street
- 9404 CENTRAL AVENUE
- City
- MONTCLAIR
- State
- CA
- ZIP
- 90303
- On-site location
- Folding clothing area
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 87
- Days restricted or transferred
- 82
Before the incident
folding clothing leaning on table
What happened
Employee was folding clothes leaning on table forklift drive hit table with pallet Table shifted and hit employee
Injury or illness
Strain Sprain Abdomen Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Abdomen Right and Left Side Struck by a Moving Object Tool Equipment Unclassified
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 471999
- EIN
- 911223280
- Establishment ID
- 1217306
- Employer case #
- WC608G5032
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:45:00.000
- 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.