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MARINA DEL RAY, CA —

OSHA Injury Report: 0479 - CULVER CITY CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0479 - CULVER CITY CA in 13463 WASHINGTON BLVD, MARINA DEL RAY, CA 84790 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
0479 - CULVER CITY CA
Parent company
Costco Wholesale
Street
13463 WASHINGTON BLVD
City
MARINA DEL RAY
State
CA
ZIP
84790
On-site location
FOOD COURT

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
10

Before the incident

on break

What happened

sitting on break and they were cleaning the floor with water and thats when i fell

Injury or illness

Numbness Elbow Left Side

Object or substance involved

Maintenance Housekeeping

Summary line

Numbness Elbow Left Side Fall from Stairs Maintenance Housekeeping

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
553
Total hours worked
800339
EIN
911223280
Establishment ID
1217366
Employer case #
WC608G7200

When (timing detail)

Date of incident
Shift started
17:00:00.000
Time of incident
19:45:00.000
Submitted
04MAR24:19:35:00

More injuries at 0479 - CULVER CITY 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.