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VICTORVILLE, CA —

OSHA Injury Report: 1010 - VICTORVILLE CA

Injury · Job transfer or restriction

At a glance

On , an injury at 1010 - VICTORVILLE CA in 14555 VALLEY CENTER DR, VICTORVILLE, CA 60045 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
1010 - VICTORVILLE CA
Parent company
Costco Wholesale
Street
14555 VALLEY CENTER DR
City
VICTORVILLE
State
CA
ZIP
60045
On-site location
Bear Valley Rd Victorville CA

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
49

Before the incident

Driving

What happened

[REDACTED] was driving home from purchasing an item for the warehouse and was rear ended by a car while driving his personal

Injury or illness

Strain Sprain Back Lower Right and Left Side

Object or substance involved

Member Vehicle

Summary line

Strain Sprain Back Lower Right and Left Side Motor Vehicle Accident Member Vehicle

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
430
Total hours worked
604072
EIN
911223280
Establishment ID
1217588
Employer case #
WC608G7495

When (timing detail)

Date of incident
Shift started
8:00:00.000
Time of incident
12:50:00.000
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.