CYPRESS, CA —
OSHA Injury Report: 0748 - CYPRESS CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0748 - CYPRESS CA in CYPRESS, CA 21075 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0748 - CYPRESS CA
- Parent company
- Costco Wholesale
- Street
- 5401 KATELLA AVE
- City
- CYPRESS
- State
- CA
- ZIP
- 21075
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 10
Before the incident
Stocking
What happened
Employee was lifting an empty and it got caught on the fork of pallet jack and strained his lower back
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Pallet Jack Manual
Summary line
Strain Sprain Back Lower Caught by Fixed Object Pallet Jack Manual
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 402
- Total hours worked
- 609189
- EIN
- 911223280
- Establishment ID
- 1217917
- Employer case #
- WC608G7077
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 16:30:00.000
- Submitted
- 04MAR24:19:38:00
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.