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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MODESTO, CA —

OSHA Injury Report: 0661 - MODESTO CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0661 - MODESTO CA in 3801 PELANDALE AVE, MODESTO, CA 98034 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
0661 - MODESTO CA
Parent company
Costco Wholesale
Street
3801 PELANDALE AVE
City
MODESTO
State
CA
ZIP
98034
On-site location
Food Court

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
15

Before the incident

spraying water

What happened

was reaching for the water hose went towards the drain to spray it and I heard my shoulder pop

Injury or illness

Strain Sprain Shoulder Left Side

Object or substance involved

Maintenance Housekeeping

Summary line

Strain Sprain Shoulder Left Side Holding or Carrying Maintenance Housekeeping

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
421
Total hours worked
616754
EIN
911223280
Establishment ID
1217074
Employer case #
WC608G2921

When (timing detail)

Date of incident
Shift started
1:00:00.000
Time of incident
21:15:00.000
Submitted
04MAR24:19:37:00

More injuries at 0661 - MODESTO CA

View 0661 - MODESTO 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.