Inspection Detail

Inspection: 314990292 - Costco Wholesale Corporation

Inspection Information - Office: Modesto District Office

Inspection Nr: 314990292

Report ID: 0950624

Date Opened: 01/06/2011

Site Address:
Costco Wholesale Corporation
25862 S Schulte Court
Tracy, CA 95377

Mailing Address:
999 Lake Drive, Issagua, WA 98027

Union Status: NonUnion

SIC:4225

NAICS: 493110/General Warehousing and Storage

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/06/2011

Emphasis:

Case Closed: 02/03/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102570264

Investigation Summary

Investigation Nr: 202520839

Event: 12/13/2010

Employee Falls Off Forklift

On December 13, 2010, Employee #1 was exiting a trailer when the trailer moved away from the loading dock. Employee #1 and the forklift fell to the ground, resulting in sutures to the head.

Keywords: HEAD, INDUSTRIAL TRUCK, LACERATION, FALL, TRAILER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314990292			Non Hospitalized injury	Cut/Laceration	Industrial truck and tractor equipment operators

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