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MOUNTAIN VIEW, CA —

OSHA Injury Report: 0143 - MOUNTAIN VIEW CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0143 - MOUNTAIN VIEW CA in 1000 N RENGSTORFF, MOUNTAIN VIEW, CA 98027 resulted in job transfer or restriction. Employee was sUP HOURLY in wholesale Grocer.

Where did this happen?

Establishment
0143 - MOUNTAIN VIEW CA
Parent company
Costco Wholesale
Street
1000 N RENGSTORFF
City
MOUNTAIN VIEW
State
CA
ZIP
98027
On-site location
Tire Center

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
2

Before the incident

Using tire iron

What happened

[REDACTED] was using the tire iron and it slipped out while pulling and came back and hit hid lip and chipped tooth

Injury or illness

Laceration Face

Object or substance involved

Tire

Summary line

Laceration Face Pulling Tire

Employee and industry

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
343
Total hours worked
540990
EIN
911223280
Establishment ID
1217085
Employer case #
WC608G1881

When (timing detail)

Date of incident
Time of incident
12:00:00.000
Submitted
04MAR24:19:29:00

More injuries at 0143 - MOUNTAIN VIEW CA

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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.