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 busser 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
- COFFEE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
PERFORMING JOB DUTIES
What happened
R SHOULDER STRAIN FROM CARRYING TRAY
Injury or illness
SHOULDER STRAIN
Object or substance involved
CARRYING TRAY
Summary line
R SHOULDER STRAIN FROM CARRYING TRAY
Employee and industry
- Job description
- BUSSER
- SOC code
- 35-9011: Dining Room and Cafeteria Attendants and Bartender Helpers
- 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 #
- 17
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- 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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