Lake Elsinore, CA —
OSHA Injury Report: Tractor Supply Company Store 1991
Injury · Days away from work
At a glance
On , an injury at Tractor Supply Company Store 1991 in Lake Elsinore, CA 92530 resulted in days away from work. Employee was team Member in general Merchandise Stores.
Where did this happen?
- Establishment
- Tractor Supply Company Store 1991
- Parent company
- Tractor Supply Company
- Street
- 18123 Collier Ave
- City
- Lake Elsinore
- State
- CA
- ZIP
- 92530
- On-site location
- Offsite
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
The IV Driver Was Returning From A Delivery
What happened
The Iv Driver Was Returning From A Delivery When It Was In A Headon Collision With The Ov On The Highway. There Is Damageto Both Veh. The Iv Driver Sustained An Injury.
Injury or illness
Contusion-Head - NOC
Object or substance involved
Vehicle Truck
Summary line
TM Struck or Against Vehicle - Truck in the Offsite causing Contusion of the Head - NOC
Employee and industry
- Job description
- Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 444240 — General Merchandise Stores
- NAICS vintage
- 2022
- Avg employees
- 18
- Total hours worked
- 24167
- EIN
- 920758772
- Establishment ID
- 742044
- Employer case #
- 0041690782
When (timing detail)
- Date of incident
- Time of incident
- 15:20:00.000
- Submitted
- 04MAR24:04:36:00
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.