AZUSA, CA —
OSHA Injury Report: 0412 - AZUSA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0412 - AZUSA CA in 1220 WEST FOOTHILL BLVD, AZUSA, CA 86301 resulted in job transfer or restriction. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0412 - AZUSA CA
- Parent company
- Costco Wholesale
- Street
- 1220 WEST FOOTHILL BLVD
- City
- AZUSA
- State
- CA
- ZIP
- 86301
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 2
Before the incident
Installing tires
What happened
I was helping install four truck tires onto truck Immediately felt tightness in lower back
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Tire
Summary line
Strain Sprain Back Lower Right and Left Side Lifting 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
- 351
- Total hours worked
- 520722
- EIN
- 911223280
- Establishment ID
- 1217334
- Employer case #
- WC608G4139
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 10:30:00.000
- Submitted
- 04MAR24:19:34:00
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View 0412 - AZUSA 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.