VISTA, CA ·
OSHA Injury Report: 0124 - VISTA CA
Injury · Days away from work
At a glance
On , an injury at 0124 - VISTA CA in 1755 HACIENDA DR, VISTA, CA 93308 resulted in days away from work. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0124 - VISTA CA
- Parent company
- Costco Wholesale
- Street
- 1755 HACIENDA DR
- City
- VISTA
- State
- CA
- ZIP
- 93308
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 160
- Days restricted or transferred
- 28
Before the incident
walking
What happened
Slipped and fell on worn out area of the floor
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Back Lower Left Side Fall on uneven surface Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 370
- Hours worked at this establishment (2023 total)
- 547,842
- EIN
- 911223280
- Establishment ID
- 1217207
- Employer case #
- WC608G4046
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0124 - Vista 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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