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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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 sALES 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
HARDLINES

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
81

Before the incident

walking

What happened

I was walking with strap machine and forklift driver backed into me

Injury or illness

Bruise or Contusion Back Upper

Object or substance involved

Forklift

Summary line

Bruise or Contusion Back Upper Struck by a falling or flying object Forklift

Employee and industry

Job description
SALES
SOC code
41-4010 — Sales Representatives, Wholesale and Manufacturing
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
443
Total hours worked
641987
EIN
911223280
Establishment ID
1217040
Employer case #
WC608G5415

When (timing detail)

Date of incident
Shift started
4:02:00.000
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.