MONTCLAIR, CA —
OSHA Injury Report: 0686 MONTCLAIR CA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0686 MONTCLAIR CA WHSE in 9404 CENTRAL AVENUE, MONTCLAIR, CA 91763 resulted in other recordable case. Employee was fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Sweeping the floor
What happened
EE was sweeping the floor around the oven and hot hit in the head with a pizza paddle
Injury or illness
Headache Head
Object or substance involved
Foreign Body
Summary line
Headache Head Struck by a Moving Object Foreign Body
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 322
- Total hours worked
- 471349
- EIN
- 911223280
- Establishment ID
- 1378614
- Employer case #
- WC608H5844
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 18:15
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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0686 MONTCLAIR CA WHSE
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View 0686 MONTCLAIR 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.