VICTORVILLE, CA —
OSHA Injury Report: 1010 - VICTORVILLE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1010 - VICTORVILLE CA in VICTORVILLE, CA 60045 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1010 - VICTORVILLE CA
- Parent company
- Costco Wholesale
- Street
- 14555 VALLEY CENTER DR
- City
- VICTORVILLE
- State
- CA
- ZIP
- 60045
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 35
Before the incident
helping members with orders
What happened
EE was bending down to pick up hot dog and tripped on floor drain and fell
Injury or illness
Bruise or Contusion Knee Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Knee Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 430
- Total hours worked
- 604072
- EIN
- 911223280
- Establishment ID
- 1217588
- Employer case #
- WC608G7586
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 11:20:00.000
- Submitted
- 04MAR24:19:23:00
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.