MONTCLAIR, CA —
OSHA Injury Report: 0686 - MONTCLAIR CA
Injury · Other recordable case
At a glance
On , an injury at 0686 - MONTCLAIR CA in MONTCLAIR, CA 90303 resulted in other recordable case. Employee was sUP HOURLY 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
- Restroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Helping a [REDACTED] that got hurt minutes before
What happened
Helping Coworker started feeling hot vision got spotty then passed out
Injury or illness
Dizziness Fainting Head
Object or substance involved
Foreign Body
Summary line
Dizziness Fainting Head Right and Left Side Foreign Body Foreign Body
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 471999
- EIN
- 911223280
- Establishment ID
- 1217306
- Employer case #
- WC608G7576
When (timing detail)
- Date of incident
- Shift started
- 20:30:00.000
- Time of incident
- 13:40:00.000
- 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.