LAKESIDE, CA —
OSHA Injury Report: 4504 - Lakeside Ca
Injury · Days away from work
At a glance
On , an injury at 4504 - Lakeside Ca in LAKESIDE, CA 92040 resulted in days away from work. Employee was dRIVER in bottled Water Manufacturing.
Where did this happen?
- Establishment
- 4504 - Lakeside Ca
- Parent company
- Primo Water formerly COTT Corp
- Street
- 11811 HIGHWAY 67
- City
- LAKESIDE
- State
- CA
- ZIP
- 92040
- On-site location
- LAKESIDE CA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
DELIVERING WATER
What happened
INITIAL SCENARIO EE ALLEGES APPROXIMATELY [REDACTED] HE WAS DELIVERING WATER WHEN THE DOLLY STARTED FALLING DOWNHILL WHEN HE WAS JOGGING AFTER THE DOLLY HIS LEFT KNEE GAVE OUT CAUSING HIM TO FALL ONTO HIS LEFT LEG LEFT BUTTOCKS AND HE HAS A
Injury or illness
Bruise ContusionButtocks Left
Object or substance involved
BottledCanned Soft DrinksCarbon Waters
Summary line
Fall Slip or Trip InjuryMiscellaneous Bruise Contusion Buttocks Left
Employee and industry
- Job description
- DRIVER
- SOC code
- 53-3032 — Heavy and Tractor-Trailer Truck Drivers
- NAICS code
- 312112 — Bottled Water Manufacturing
- NAICS vintage
- 2022
- Avg employees
- 101
- Total hours worked
- 201718
- EIN
- 205743877
- Establishment ID
- 1370172
- Employer case #
- 190351083
When (timing detail)
- Date of incident
- Shift started
- 5:30
- Time of incident
- 11:50
- Filing year
- 2024
- Submitted
- 03MAR2025:20:18:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.