Tustin, CA —
OSHA Injury Report: 10231 Jamboree
Injury · Other recordable case
At a glance
On , an injury at 10231 Jamboree in Tustin, CA 92780 resulted in other recordable case. Employee was s Grocery Service Team Member.
Where did this happen?
- Establishment
- 10231 Jamboree
- Street
- 2847 Park Avenue
- City
- Tustin
- State
- CA
- ZIP
- 92780
- On-site location
- Grocery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES WORKING WATER AISLE LIFTING A CASE OF WATER FELT A PINCH IN LOWER BACK CAUSING RADIATING PAIN FROM LOWER BACK TO LEFT TOES
What happened
Overexertion Lifting
Injury or illness
Strain Sprain
Object or substance involved
Box barrel container
Summary line
pulled his back while lifting working the water [REDACTED]
Employee and industry
- Job description
- S Grocery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 208
- Total hours worked
- 294174
- EIN
- 953096433
- Establishment ID
- 715751
- Employer case #
- 0005772062
When (timing detail)
- Date of incident
- Shift started
- 23:57:00.000
- Time of incident
- 3:30:00.000
- Submitted
- 28FEB24:22:34:00
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.