San Diego, CA ·
OSHA Injury Report: CCW La Jolla, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at CCW La Jolla, LLC in 8515 Costa Verde Boulevard, San Diego, CA 92122 resulted in job transfer or restriction. Employee was server in continuing care retirement communities.
Where did this happen?
- Establishment
- CCW La Jolla, LLC
- Parent company
- Vi at La Jolla Village
- Street
- 8515 Costa Verde Boulevard
- City
- San Diego
- State
- CA
- ZIP
- 92122
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 23
Before the incident
Employee was in the dining area
What happened
Employee states he was picking up a tray and he slipped resulting in him falling with a tray of glasses. The employee began to experience discomfort to his lower back.
Injury or illness
low back strain
Object or substance involved
slip and fall
Summary line
Employee was carrying full tray and felt wrist giving out and when he attempted to place tray down he lost balance of the tray causing it to fall on employee and he fell backwards onto the ground
Employee and industry
- Job description
- Server
- SOC code
- 9999: Uncoded
- NAICS code
- 623311: Continuing care retirement communities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 341
- Hours worked at this establishment (2023 total)
- 493,758
- Establishment ID
- 1098938
- Employer case #
- 13
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 11:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-15
More injuries at CCW La Jolla, LLC
View CCW La Jolla, LLC's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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