San Luis Obispo, CA ·
OSHA Injury Report: Madonna Inn, Inc
Injury · Other recordable case
At a glance
On , an injury at Madonna Inn, Inc in 100 Madonna Road, San Luis Obispo, CA 93405 resulted in other recordable case. Employee was baker 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
- WALK IN FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MOVING A BOX
What happened
TRIPPED OVER A BOX IN THE MIDDLE OF AN AISLE
Injury or illness
BACK PAIN R ELBOW BILATERAL KNEE R TIBIAL CONSTUSION
Object or substance involved
BOX
Summary line
BACK PAIN R [REDACTED] BILATERAL KNEE R TIBIAL CONSTUSION FROM TRIP AND FALL
Employee and industry
- Job description
- BAKER
- SOC code
- 51-3011: Bakers
- 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 #
- 5
When (timing detail)
- Date of incident
- Shift started
- 03:59
- Time of incident
- 11:55
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-29
More injuries at Madonna Inn, Inc
View Madonna Inn, Inc's full OSHA safety record →
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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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