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FOUNTAIN VALLEY, CA —

OSHA Injury Report: 0411 - FOUNTAIN VALLEY CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0411 - FOUNTAIN VALLEY CA in 17900 NEWHOPE STREET, FOUNTAIN VALLEY, CA 85008 resulted in job transfer or restriction. Employee was mAINTENANCE CLERK 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
OUTSIDE PARKING LOT

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
63

Before the incident

Setting up a pressure washer

What happened

[REDACTED] was setting up pressure washer outside and tripped on a planter

Injury or illness

Bruise or Contusion Shoulder Left Side

Object or substance involved

Floor Walking Surface

Summary line

Bruise or Contusion Shoulder Left Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
MAINTENANCE CLERK
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
412
Total hours worked
614920
EIN
911223280
Establishment ID
1217365
Employer case #
WC608G8032

When (timing detail)

Date of incident
Shift started
4:00:00.000
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.