Milpitas, CA —
OSHA Injury Report: Milpitas
Injury · Other recordable case
At a glance
On , an injury at Milpitas in Milpitas, CA 95035 resulted in other recordable case. Employee was filtration Service Tech in spring waters, purifying and bottling.
Where did this happen?
- Establishment
- Milpitas
- Parent company
- DS Services of America, Inc
- Street
- 485 Vista Way
- City
- Milpitas
- State
- CA
- ZIP
- 95035
- On-site location
- Customer location
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
delivering
What happened
EE ALLEGES APPROXIMATELY [REDACTED] WHILE HE WAS UNLOADING A COOLER FROM THE VAN HE FELT PAIN IN BOTH SIDES OF HIS LOWER BACK EE REPORTS THE PAIN RADIATES TO HIS L BUTTOCKS AND L LEG. EE DENIES INJURY TO ANY OTHER AREA.
Injury or illness
Strain or TearMultiple Lower Extremities
Object or substance involved
N A
Summary line
EE ALLEGES APPROXIMATELY [REDACTED] WHILE HE WAS UNLOADING A COOLER FROM THE VAN HE FELT PAIN IN BOTH SIDES OF HIS LOWER BACK EE REPORTS THE PAIN RADIATES TO HIS L BUTTOCKS AND L LEG. EE DENIES INJURY TO ANY OTHER AREA.
Employee and industry
- Job description
- Filtration Service Tech
- SOC code
- 9999 — Uncoded
- NAICS code
- 312112 — Spring waters, purifying and bottling
- NAICS vintage
- 2022
- Avg employees
- 67
- Total hours worked
- 102950
- EIN
- 205743877
- Establishment ID
- 621804
- Employer case #
- 190198880
When (timing detail)
- Date of incident
- Time of incident
- 10:15:00.000
- Submitted
- 23FEB24:16:26:00
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.