AZUSA, CA —
OSHA Injury Report: 0412 AZUSA CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0412 AZUSA CA WHSE in 1220 WEST FOOTHILL BLVD, AZUSA, CA 91702 resulted in job transfer or restriction. Employee was rECEIVER SHIPPER in wholesale Grocer.
Where did this happen?
- Establishment
- 0412 AZUSA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1220 WEST FOOTHILL BLVD
- City
- AZUSA
- State
- CA
- ZIP
- 91702
- On-site location
- INSIDE UNCLASSIFIED
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
Moving pallets from Receiving to the merch floor
What happened
EPJ hit corner of the meat cooler and I got knocked off the EPJ
Injury or illness
Laceration Elbow Right Side
Object or substance involved
Floor Walking Surface
Summary line
Laceration Elbow Right Side Fall on uneven surface Floor Walking Surface
Employee and industry
- Job description
- RECEIVER SHIPPER
- SOC code
- 43-5071 — Shipping, Receiving, and Inventory Clerks
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 339
- Total hours worked
- 513050
- EIN
- 911223280
- Establishment ID
- 1378490
- Employer case #
- WC608H1163
When (timing detail)
- Date of incident
- Shift started
- 4:15
- Time of incident
- 6:15
- Filing year
- 2024
- Submitted
- 28FEB2025:21:41:00
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AZUSA, CA—
0412 AZUSA CA WHSE
AZUSA, CA—
0412 AZUSA CA WHSE
View 0412 AZUSA CA WHSE's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.