COSTA MESA, CA —
OSHA Injury Report: Costa Mesa 1
Injury · Job transfer or restriction
At a glance
On , an injury at Costa Mesa 1 in COSTA MESA, CA 926272800 resulted in job transfer or restriction. Employee was cook in grocery stores.
Where did this happen?
- Establishment
- Costa Mesa 1
- Parent company
- MOTHER'S MARKET & KITCHEN INC
- Street
- 1890 NEWPORT BLVD
- City
- COSTA MESA
- State
- CA
- ZIP
- 926272800
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Filling a bucket with oil
What happened
Filling a bucket with oil and she tripped over a carpet and fell injuring her left hip and left elbow.
Injury or illness
Contusion Elbow
Object or substance involved
Carpet
Summary line
Hip sprain left |Elbow sprain left | Rib sprain Sprain of chest wall
Employee and industry
- Job description
- Cook
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2012
- Avg employees
- 149
- Total hours worked
- 148031
- EIN
- 474634734
- Establishment ID
- 1017633
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 22:00
- Filing year
- 2025
- Submitted
- 28FEB26:13:30:00
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.