TUSTIN, CA —
OSHA Injury Report: 0122 - TUSTIN RANCH CA
Injury · Other recordable case
At a glance
On , an injury at 0122 - TUSTIN RANCH CA in TUSTIN, CA 93955 resulted in other recordable case. Employee was mAINTENANCE ASST 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
- Freezer Aisles
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
scrubbing floor
What happened
slip and fall on wet floor where scrubbing machine passed through
Injury or illness
Strain Sprain Knee Right Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Knee Right Side Walking Floor Walking Surface
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 311
- Total hours worked
- 466782
- EIN
- 911223280
- Establishment ID
- 1217196
- Employer case #
- WC608G7204
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 9:40:00.000
- Submitted
- 04MAR24:19:27:00
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.