San Luis Obispo, CA ·
OSHA Injury Report: Madonna Inn, Inc
Injury · Job transfer or restriction
At a glance
On , an injury at Madonna Inn, Inc in 100 Madonna Road, San Luis Obispo, CA 93405 resulted in job transfer or restriction. Employee was cook in hotels, resort, without casinos.
Where did this happen?
- Establishment
- Madonna Inn, Inc
- Street
- 100 Madonna Road
- City
- San Luis Obispo
- State
- CA
- ZIP
- 93405
- On-site location
- DISHWASHING STATION
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
CARRYING POT TO [REDACTED]
What happened
TRIPPED ON [REDACTED] GOING INTO DISHWASHING [REDACTED]
Injury or illness
RIGHT SHOULDER AND HIP CONTUSION
Object or substance involved
MAT
Summary line
R SHOULDER AND HIP CONTUSION FROM TRIP AND FALL
Employee and industry
- Job description
- COOK
- SOC code
- 35-2014: Cooks, Restaurant
- NAICS code
- 721110: Hotels, resort, without casinos
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 284
- Hours worked at this establishment (2025 total)
- 397,142
- EIN
- 412163639
- Establishment ID
- 319327
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 06:18
- Time of incident
- 07:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-29
More injuries at Madonna Inn, Inc
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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