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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 mAINTENANCE 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
HARDLINES

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
135

Before the incident

installing light fixture

What happened

installing a light fixture display pulled on it and fell with fixture

Injury or illness

Strain Sprain Back Lower Right and Left Side

Object or substance involved

Pallet

Summary line

Strain Sprain Back Lower Right and Left Side Climbing Pallet

Employee and industry

Job description
MAINTENANCE CLERK
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
325
Total hours worked
472401
EIN
911223280
Establishment ID
1217165
Employer case #
WC608G4870

When (timing detail)

Date of incident
Time of incident
8:00:00.000
Submitted
04MAR24:19:28:00

More injuries at 0128 - SIMI VALLEY CA

View 0128 - SIMI VALLEY CA's full OSHA safety record →

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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.