Costa Mesa, CA —
OSHA Injury Report: 3391 - Costa Mesa 17th St
Injury · Job transfer or restriction
At a glance
On , an injury at 3391 - Costa Mesa 17th St in Costa Mesa, CA 926273831 resulted in job transfer or restriction. Employee was small Format Team Member in discount Department Stores.
Where did this happen?
- Establishment
- 3391 - Costa Mesa 17th St
- Parent company
- Target
- Street
- 289 E 17th St
- City
- Costa Mesa
- State
- CA
- ZIP
- 926273831
- On-site location
- Checklanes Staffed
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
Guest Service in [REDACTED] Staffed Cashiering
What happened
Strain-Sprain - No Object Identified - Right Back - Lower Strain or Tear
Injury or illness
Strain-Sprain Back - Lower
Object or substance involved
No Object Identified
Summary line
Strain-Sprain - No Object Identified - Right Back - Lower Strain or Tear
Employee and industry
- Job description
- Small Format Team Member
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 452112 — Discount Department Stores
- NAICS vintage
- 2012
- Avg employees
- 76
- Total hours worked
- 102703
- EIN
- 410215170
- Establishment ID
- 917236
- Employer case #
- CA2595146
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 18:45
- Filing year
- 2025
- Submitted
- 19JAN26:20:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.