San Jose, CA —
OSHA Injury Report: 69930018-000013 STOCKTON
Injury · Days away from work
At a glance
On , an injury at 69930018-000013 STOCKTON in San Jose, CA 95126 resulted in days away from work. Employee was mixer Driver Bay Area Slider in ready-mix concrete manufacturing and distributing.
Where did this happen?
- Establishment
- 69930018-000013 STOCKTON
- Parent company
- Central Concrete Supply CO., Inc.
- Street
- 790 Stockton Ave
- City
- San Jose
- State
- CA
- ZIP
- 95126
- On-site location
- Customer jobsite
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
Before the incident
descending mixer
What happened
While at a customers jobsite employee was descending the mixer when he missed a step lost his balance and fell on top of a pile of metal and wood laying on the ground. Employee sustained multiple injuries including 5 broken ribs punctured right lung and a broken bone in his back.
Injury or illness
fracture of multiple ribs and punctured lung
Object or substance involved
fall (diffrent level) landing on material
Summary line
five broken ribs punctured right lung and back fracture
Employee and industry
- Job description
- Mixer Driver Bay Area Slider
- SOC code
- 9999 — Uncoded
- NAICS code
- 327320 — Ready-mix concrete manufacturing and distributing
- NAICS vintage
- 2022
- Avg employees
- 54
- Total hours worked
- 17068
- EIN
- 941181859
- Establishment ID
- 1032068
- Employer case #
- 4
When (timing detail)
- Date of incident
- Time of incident
- 14:45:00.000
- Submitted
- 22FEB24:22:36:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.