Lake Elsinore, CA —
OSHA Injury Report: SIP MFG LLC
Injury · Other recordable case
At a glance
On , an injury at SIP MFG LLC in Lake Elsinore, CA 92530 resulted in other recordable case. Employee was sanitation 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
- Back Sliding Door Building 1
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was transporting a pallet on a pallet jack and was exiting through the back slide up door.
What happened
The back slide up door came down on his head knocking him down.
Injury or illness
Closed head injury.
Object or substance involved
Back slide up door.
Summary line
EE states walking through door with pallet Jack door closed on head EE fell to knees then pallet jack struck head.
Employee and industry
- Job description
- Sanitation
- SOC code
- 9999 — Uncoded
- NAICS code
- 312111 — Carbonated soft drinks manufacturing
- NAICS vintage
- 2022
- Avg employees
- 130
- Total hours worked
- 300000
- EIN
- 934946676
- Establishment ID
- 1220879
- Employer case #
- 20
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Submitted
- 02MAR24:06:11:00
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.