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SAN JOSE, CA —

OSHA Injury Report: 1004 - NORTHEAST SAN JOSE CA

Injury · Days away from work

At a glance

On , an injury at 1004 - NORTHEAST SAN JOSE CA in 1709 AUTOMATION PARKWAY, SAN JOSE, CA 30319 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
1004 - NORTHEAST SAN JOSE CA
Parent company
Costco Wholesale
Street
1709 AUTOMATION PARKWAY
City
SAN JOSE
State
CA
ZIP
30319
On-site location
TIRE SHOP

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
10

Before the incident

LIFTING

What happened

was removing a wheel on the left front of the vehicle and heard a pop from lower back

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Tire

Summary line

Strain Sprain Back Lower Lifting Tire

Employee and industry

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
378
Total hours worked
610844
EIN
911223280
Establishment ID
1217835
Employer case #
WC608G4645

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
9:45:00.000
Filing year
2023
Submitted
04MAR24:19:23:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.