MONTCLAIR, CA —
OSHA Injury Report: 0686 - MONTCLAIR CA
Injury · Other recordable case
At a glance
On , an injury at 0686 - MONTCLAIR CA in 9404 CENTRAL AVENUE, MONTCLAIR, CA 90303 resulted in other recordable case. Employee was sUP HOURLY 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
- FRONT END
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
running to exit door
What happened
Employee was tryin to run to Exit door for call felt ankle pop start to hurt when pushing off
Injury or illness
Strain Sprain Ankle Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Ankle Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 471999
- EIN
- 911223280
- Establishment ID
- 1217306
- Employer case #
- WC608G8075
When (timing detail)
- Date of incident
- Shift started
- 18:00:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 04MAR24:19:37:00
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View 0686 - MONTCLAIR 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.