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SIMI VALLEY, CA —

OSHA Injury Report: 0128 - SIMI VALLEY CA

Injury · Other recordable case

At a glance

On , an injury at 0128 - SIMI VALLEY CA in 2660 PARK CENTER DRIVE, SIMI VALLEY, CA 94945 resulted in other recordable case. Employee was bAKER 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
BAKERY

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

walking by [REDACTED]

What happened

walking by one of the bakery racks and arm touched rack and got cut above elbow

Injury or illness

Laceration Elbow Left Side

Object or substance involved

Rack

Summary line

Laceration Elbow Left Side Struck Against a Fixed Object Rack

Employee and industry

Job description
BAKER
SOC code
51-3011 — Bakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
325
Total hours worked
472401
EIN
911223280
Establishment ID
1217165
Employer case #
WC608G3175

When (timing detail)

Date of incident
Shift started
4:00:00.000
Time of incident
8:15:00.000
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.