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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 gAS STATION ATTD 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
GAS STATION

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
119
Days restricted or transferred
21

Before the incident

Guiding traffic

What happened

I was guiding traffic vehicle was trying to break through barricade

Injury or illness

Bruise or Contusion Knee Right Side

Object or substance involved

Member

Summary line

Bruise or Contusion Knee Right Side Struck by a Moving Object Member

Employee and industry

Job description
GAS STATION ATTD
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
412
Total hours worked
614920
EIN
911223280
Establishment ID
1217365
Employer case #
WC608G7122

When (timing detail)

Date of incident
Shift started
13:30:00.000
Time of incident
16:00:00.000
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.