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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MODESTO, CA —

OSHA Injury Report: 0661 MODESTO CA WHSE

Injury · Days away from work

At a glance

On , an injury at 0661 MODESTO CA WHSE in 3801 PELANDALE AVE, MODESTO, CA 95356 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0661 MODESTO CA WHSE
Parent company
COSTCO WHOLESALE
Street
3801 PELANDALE AVE
City
MODESTO
State
CA
ZIP
95356
On-site location
FRONT END

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
30

Before the incident

standing

What happened

The employee was not on the clock He was technically on a LOA was standing by the timeclock to clock in when he fell

Injury or illness

Concussion Head

Object or substance involved

Floor Walking Surface

Summary line

Concussion Head Fall from Same Level Floor Walking Surface

Employee and industry

Job description
MAINTENANCE ASST
SOC code
37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
309
Total hours worked
429382
EIN
911223280
Establishment ID
1378590
Employer case #
WC608P073

When (timing detail)

Date of incident
Shift started
10:00
Time of incident
9:56
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.