Lake Elsinore, CA —
OSHA Injury Report: SIP MFG LLC
Injury · Days away from work
At a glance
On , an injury at SIP MFG LLC in Lake Elsinore, CA 92530 resulted in days away from work. Employee was general Labor in carbonated soft drinks manufacturing.
Where did this happen?
- Establishment
- SIP MFG LLC
- Parent company
- SIP MFG LLC
- Street
- 490 3rd St.
- City
- Lake Elsinore
- State
- CA
- ZIP
- 92530
- On-site location
- Loading Dock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 120
- Days restricted or transferred
- 60
Before the incident
[REDACTED] was emptying out bin in the back loading dock in building 1.
What happened
EE was emptying out bin by the loading dock when a forklift driver hit a bin with the forklift and it hit [REDACTED] on the hip back knee area.
Injury or illness
Contusion of left hip initial encounter. Contusion of left knee and lower leg. Left initial encounter. Contusion of left foot initial encounter.
Object or substance involved
Plastic bin that was hit by the forklift
Summary line
[REDACTED] was moving a plastic bin on the forklift and he went to brake but the breaks were faulty and the forklift kept moving.
Employee and industry
- Job description
- General Labor
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 312111 — Carbonated soft drinks manufacturing
- NAICS vintage
- 2022
- Avg employees
- 130
- Total hours worked
- 300000
- EIN
- 934946676
- Establishment ID
- 1220879
- Employer case #
- 18
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Submitted
- 02MAR24:05:42:00
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.