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FOUNTAIN VALLEY, CA —

OSHA Injury Report: 0411 - FOUNTAIN VALLEY CA

Injury · Days away from work

At a glance

On , an injury at 0411 - FOUNTAIN VALLEY CA in 17900 NEWHOPE STREET, FOUNTAIN VALLEY, CA 85008 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.

Where did this happen?

Establishment
0411 - FOUNTAIN VALLEY CA
Parent company
Costco Wholesale
Street
17900 NEWHOPE STREET
City
FOUNTAIN VALLEY
State
CA
ZIP
85008
On-site location
TIRE SHOP

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
126
Days restricted or transferred
91

Before the incident

Installing tire

What happened

Installing tire and hurt back

Injury or illness

Inflammation swelling Back Lower

Object or substance involved

Tire

Summary line

Inflammation swelling Back Lower Twisted Tire

Employee and industry

Job description
TIRE INSTALLER
SOC code
49-3093 — Tire Repairers and Changers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
412
Total hours worked
614920
EIN
911223280
Establishment ID
1217365
Employer case #
WC608G5065

When (timing detail)

Date of incident
Shift started
16:00:00.000
Time of incident
17:50:00.000
Submitted
04MAR24:19:34:00

More injuries at 0411 - FOUNTAIN VALLEY 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.