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VAN NUYS, CA —

OSHA Injury Report: 0048 - VAN NUYS CA

Injury · Days away from work

At a glance

On , an injury at 0048 - VAN NUYS CA in 6100 SEPULVEDA BLVD, VAN NUYS, CA 99208 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0048 - VAN NUYS CA
Parent company
Costco Wholesale
Street
6100 SEPULVEDA BLVD
City
VAN NUYS
State
CA
ZIP
99208
On-site location
center of the store seasonal

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
147
Days restricted or transferred
84

Before the incident

putting lights up inside gazebo

What happened

EE was under gazebo putting light up and turned while on ladder and ladder started to slide

Injury or illness

Bruise or Contusion Back Lower

Object or substance involved

Ladder Stepstool

Summary line

Bruise or Contusion Back Lower Fall from ladder stepstool Ladder Stepstool

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
443
Total hours worked
641987
EIN
911223280
Establishment ID
1217040
Employer case #
WC608G2528

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
8:00:00.000
Submitted
04MAR24:19:35:00

More injuries at 0048 - VAN NUYS CA

View 0048 - VAN NUYS 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.