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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MONTCLAIR, CA —

OSHA Injury Report: 0686 MONTCLAIR CA WHSE

Injury · Days away from work

At a glance

On , an injury at 0686 MONTCLAIR CA WHSE in 9404 CENTRAL AVENUE, MONTCLAIR, CA 91763 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.

Where did this happen?

Establishment
0686 MONTCLAIR CA WHSE
Parent company
COSTCO WHOLESALE
Street
9404 CENTRAL AVENUE
City
MONTCLAIR
State
CA
ZIP
91763
On-site location
HARDLINES

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
57
Days restricted or transferred
103

Before the incident

getting off the steel

What happened

Employee getting off the steel employee stepped on forklift forks when he fell

Injury or illness

Strain Sprain Knee Left Side

Object or substance involved

Forklift

Summary line

Strain Sprain Knee Left Side Caught In or Between Forklift

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
322
Total hours worked
471349
EIN
911223280
Establishment ID
1378614
Employer case #
WC608H0719

When (timing detail)

Date of incident
Shift started
6:30
Time of incident
7:30
Filing year
2024
Submitted
28FEB2025:21:42:00

More injuries at 0686 MONTCLAIR CA WHSE

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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.