TUSTIN, CA —
OSHA Injury Report: 0122 TUSTIN RANCH CA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0122 TUSTIN RANCH CA WHSE in TUSTIN, CA 92782 resulted in other recordable case. Employee was rX SERVICES CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0122 TUSTIN RANCH CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2655 EL CAMINO REAL
- City
- TUSTIN
- State
- CA
- ZIP
- 92782
- On-site location
- HABA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
using pallet jack
What happened
working pallet jack jack got stuck pulling it hit L lower leg shin area Worked 11 21 and hit same shin with cardboard
Injury or illness
Bruise or Contusion Leg Left Side
Object or substance involved
Pallet Jack Manual
Summary line
Bruise or Contusion Leg Left Side Pulling Pallet Jack Manual
Employee and industry
- Job description
- RX SERVICES CLERK
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 319
- Total hours worked
- 470603
- EIN
- 911223280
- Establishment ID
- 1378327
- Employer case #
- WC608P116
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 5:30
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.