POWAY, CA —
OSHA Injury Report: 0775 - POWAY CA
Injury · Other recordable case
At a glance
On , an injury at 0775 - POWAY CA in POWAY, CA 43240 resulted in other recordable case. Employee was mGR DEPT W OT in wholesale Grocer.
Where did this happen?
- Establishment
- 0775 - POWAY CA
- Parent company
- Costco Wholesale
- Street
- 12155 TECH CENTER DRIVE
- City
- POWAY
- State
- CA
- ZIP
- 43240
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working
What happened
Taking tire off of wheel and grab bar flew into forehead above left eye
Injury or illness
Laceration Forehead Left Side
Object or substance involved
Tire Changer
Summary line
Laceration Forehead Left Side Pulling Tire Changer
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 334
- Total hours worked
- 507669
- EIN
- 911223280
- Establishment ID
- 1217707
- Employer case #
- WC608G7272
When (timing detail)
- Date of incident
- Shift started
- 8:30:00.000
- Time of incident
- 15:40:00.000
- Submitted
- 04MAR24:19:39:00
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.