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MONTCLAIR, CA —

OSHA Injury Report: 0686 - MONTCLAIR CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0686 - MONTCLAIR CA in 9404 CENTRAL AVENUE, MONTCLAIR, CA 90303 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
0686 - MONTCLAIR CA
Parent company
Costco Wholesale
Street
9404 CENTRAL AVENUE
City
MONTCLAIR
State
CA
ZIP
90303
On-site location
FOOD AND SUNDRY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
9

Before the incident

stocking

What happened

Stocking juices

Injury or illness

Strain Sprain Back Lower Right and Left Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Back Lower Right and Left Side Lifting Merchandise

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
319
Total hours worked
471999
EIN
911223280
Establishment ID
1217306
Employer case #
WC608G4719

When (timing detail)

Date of incident
Shift started
3:15:00.000
Time of incident
7:00:00.000
Submitted
04MAR24:19:37:00

More injuries at 0686 - MONTCLAIR 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.