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Safety Incidents OSHA Severe Injury Reports · 2015–2025

FOUNTAIN VALLEY, CA —

OSHA Injury Report: 0411 FOUNTAIN VALLEY CA WHSE

Injury · Job transfer or restriction

At a glance

On , an injury at 0411 FOUNTAIN VALLEY CA WHSE in 17900 NEWHOPE STREET, FOUNTAIN VALLEY, CA 92708 resulted in job transfer or restriction. Employee was mAINTENANCE CLERK in wholesale Grocer.

Where did this happen?

Establishment
0411 FOUNTAIN VALLEY CA WHSE
Parent company
COSTCO WHOLESALE
Street
17900 NEWHOPE STREET
City
FOUNTAIN VALLEY
State
CA
ZIP
92708
On-site location
OUTSIDE PERIMETER

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
9

Before the incident

[REDACTED] had been cleaning and organizing the buildings pallet yard

What happened

A sharp piece of metal caught his left forearm causing a 2 inch long laceration

Injury or illness

Laceration Forearms Left Side

Object or substance involved

T Bar

Summary line

Laceration Forearms Left Side Caught by Fixed Object T Bar

Employee and industry

Job description
MAINTENANCE CLERK
SOC code
37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
404
Total hours worked
580358
EIN
911223280
Establishment ID
1378489
Employer case #
WC608P028

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
10:55
Filing year
2025
Submitted
28FEB26:00:31:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.