FONTANA, CA —
OSHA Injury Report: 0627 FONTANA CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0627 FONTANA CA WHSE in FONTANA, CA 92336 resulted in days away from work. Employee was mGR STAFF in wholesale Grocer.
Where did this happen?
- Establishment
- 0627 FONTANA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 16505 SIERRA LAKES PARKWAY
- City
- FONTANA
- State
- CA
- ZIP
- 92336
- On-site location
- RESTROOMS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 12
Before the incident
walking in the building
What happened
Employee was in the restroom and came out bleeding with a bump on her head she may have fallen however we are unsure
Injury or illness
Bruise or Contusion Forehead
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Forehead Foreign Body Foreign Body
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 357
- Total hours worked
- 521721
- EIN
- 911223280
- Establishment ID
- 1378557
- Employer case #
- WC608H749
When (timing detail)
- Date of incident
- Shift started
- 2:00
- Time of incident
- 2:20
- 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.