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Safety Incidents OSHA Severe Injury Reports · 2015–2025

SIMI VALLEY, CA —

OSHA Injury Report: 0128 - SIMI VALLEY CA

Injury · Days away from work

At a glance

On , an injury at 0128 - SIMI VALLEY CA in 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 94945 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
0128 - SIMI VALLEY CA
Parent company
Costco Wholesale
Street
2660 PARK CENTER DRIVE
City
SIMI VALLEY
State
CA
ZIP
94945
On-site location
FOOD SERVICE

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180

Before the incident

Lifting

What happened

Lifting in the deli

Injury or illness

Strain Sprain Shoulder

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Lifting Merchandise

Employee and industry

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
325
Total hours worked
472401
EIN
911223280
Establishment ID
1217165
Employer case #
WC608G3257

When (timing detail)

Date of incident
Submitted
04MAR24:19:28:00

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Source

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