SAN DIMAS, CA —
OSHA Injury Report: 1015 - SAN DIMAS CA
Injury · Other recordable case
At a glance
On , an injury at 1015 - SAN DIMAS CA in SAN DIMAS, CA 75033 resulted in other recordable case. Employee was cAKE DECORATOR in wholesale Grocer.
Where did this happen?
- Establishment
- 1015 - SAN DIMAS CA
- Parent company
- Costco Wholesale
- Street
- 520 NORTH LONE HILL AVENUE
- City
- SAN DIMAS
- State
- CA
- ZIP
- 75033
- On-site location
- bakery table
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
moving table
What happened
EE was moving the table back into place She lifted the table and felt her arm pop snap
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Right Side Lifting Tool Equipment Unclassified
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092 — Food Batchmakers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 341
- Total hours worked
- 505916
- EIN
- 911223280
- Establishment ID
- 1217495
- Employer case #
- WC608G8310
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 04MAR24:19:24:00
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.