TUSTIN, CA ·
OSHA Injury Report: 0122 - TUSTIN RANCH CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0122 - TUSTIN RANCH CA in 2655 EL CAMINO REAL, TUSTIN, CA 93955 resulted in job transfer or restriction. Employee was forklift driver in wholesale Grocer.
Where did this happen?
- Establishment
- 0122 - TUSTIN RANCH CA
- Parent company
- Costco Wholesale
- Street
- 2655 EL CAMINO REAL
- City
- TUSTIN
- State
- CA
- ZIP
- 93955
- On-site location
- INSIDE UNCLASSIFIED
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 36
Before the incident
He was going to put on his steel toe boots and get a drink
What happened
When walking into the breakroom Employee slipped and fell Hitting his kneww and chin
Injury or illness
Inflammation swelling Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Knee Right Side Fall from liquid spill or grease Floor Walking Surface
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 311
- Hours worked at this establishment (2023 total)
- 466,782
- EIN
- 911223280
- Establishment ID
- 1217196
- Employer case #
- WC608G6910
When (timing detail)
- Date of incident
- Shift started
- 04:21
- Time of incident
- 05:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0122 - Tustin Ranch CA
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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