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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0775 - POWAY CA

Injury · Job transfer or restriction

On , an injury at 0775 - POWAY CA in POWAY, CA 43240 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.

Establishment
0775 - POWAY CA
Parent company
Costco Wholesale
Street
12155 TECH CENTER DRIVE
City
POWAY
State
CA
ZIP
43240
On-site location
FOOD SERVICE
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
30

Working in Chicken prep room

Employee was lifting a box of chicken in prep room

Strain Sprain Back Lower

Cardboard

Strain Sprain Back Lower Right Side Holding or Carrying Cardboard

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
334
Total hours worked
507669
EIN
911223280
Establishment ID
1217707
Employer case #
WC608G4656
Date of incident
Time of incident
12:30:00.000
Submitted
04MAR24:19:39:00

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.