Eastvale, CA ·
OSHA Injury Report: 1317 EASTVALE CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 1317 EASTVALE CA WHSE in 5030 Hamner Ave., Eastvale, CA 91752 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1317 EASTVALE CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 5030 Hamner Ave.
- City
- Eastvale
- State
- CA
- ZIP
- 91752
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
walking to answer phone
What happened
Walking to answer phone call on deli phone slipped and hit knee and landed face down
Injury or illness
Strain Sprain Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 353
- Hours worked at this establishment (2025 total)
- 539,883
- EIN
- 911223280
- Establishment ID
- 1378856
- Employer case #
- WC608P107
When (timing detail)
- Date of incident
- Shift started
- 17:00
- Time of incident
- 17:49
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at 1317 Eastvale CA Whse
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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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