SAN JUAN CAPISTRAN, CA —
OSHA Injury Report: 0429 SAN JUAN CAPISTRANO CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0429 SAN JUAN CAPISTRANO CA WHSE in SAN JUAN CAPISTRAN, CA 92675 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0429 SAN JUAN CAPISTRANO CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 33961 DOHENY PARK ROAD
- City
- SAN JUAN CAPISTRAN
- State
- CA
- ZIP
- 92675
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 165
- Days restricted or transferred
- 11
Before the incident
Lifting
What happened
lifited a tire
Injury or illness
Hernia Abdomen Right Side
Object or substance involved
Tire
Summary line
[REDACTED] Abdomen Right Side Lifting Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 345
- Total hours worked
- 492377
- EIN
- 911223280
- Establishment ID
- 1378498
- Employer case #
- WC608H749
When (timing detail)
- Date of incident
- Shift started
- 21:30
- Time of incident
- 11:00
- 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.