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Safety Incidents OSHA Severe Injury Reports · 2015–2025

ANTIOCH, CA —

OSHA Injury Report: 1002 ANTIOCH CA WHSE

Injury · Days away from work

At a glance

On , an injury at 1002 ANTIOCH CA WHSE in 2201 VERNE ROBERTS CIRCLE, ANTIOCH, CA 94509 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
1002 ANTIOCH CA WHSE
Parent company
COSTCO WHOLESALE
Street
2201 VERNE ROBERTS CIRCLE
City
ANTIOCH
State
CA
ZIP
94509
On-site location
HARDLINES

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
6

Before the incident

Stocking

What happened

EE was plugging in a board and felt back give up

Injury or illness

Strain Sprain Back Lower Right and Left Side

Object or substance involved

Pallet Jack Manual

Summary line

Strain Sprain Back Lower Right and Left Side Pushing Pallet Jack Manual

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
409
Total hours worked
622075
EIN
911223280
Establishment ID
1378685
Employer case #
WC608H4137

When (timing detail)

Date of incident
Shift started
3:15
Time of incident
4:20
Filing year
2024
Submitted
28FEB2025:21:43:00

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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.