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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 sTOCKER 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
Aisle 312 end cap

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
35

Before the incident

talking to a forklift driver

What happened

Employee was talking with forklift driver walking backwards walked into a pallet lost balance fell backwards hit back

Injury or illness

Bruise or Contusion Back Lower Right and Left Side

Object or substance involved

Pallet

Summary line

Bruise or Contusion Back Lower Right and Left Side Stepped In On or Off Pallet

Employee and industry

Job description
STOCKER
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
412
Total hours worked
614920
EIN
911223280
Establishment ID
1217365
Employer case #
WC608G2318

When (timing detail)

Date of incident
Shift started
3:15:00.000
Time of incident
7:20:00.000
Submitted
04MAR24:19:34:00

More injuries at 0411 - FOUNTAIN VALLEY CA

View 0411 - FOUNTAIN 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.