Eastvale, CA ·
OSHA Injury Report: 1317 - EASTVALE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1317 - EASTVALE CA in 5030 Hamner Ave., Eastvale, CA 00680 resulted in job transfer or restriction. Employee was SUP hourly in wholesale Grocer.
Where did this happen?
- Establishment
- 1317 - EASTVALE CA
- Parent company
- Costco Wholesale
- Street
- 5030 Hamner Ave.
- City
- Eastvale
- State
- CA
- ZIP
- 00680
- On-site location
- Deli Department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Putting containers on a rack and proceeded to walk out of dept
What happened
Employee slipped and tried to break her fall by putting her hand out
Injury or illness
Strain Sprain Wrist
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Wrist Right Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 333
- Hours worked at this establishment (2023 total)
- 510,217
- EIN
- 911223280
- Establishment ID
- 1218040
- Employer case #
- WC608G3055
When (timing detail)
- Date of incident
- Shift started
- 08:00
- Time of incident
- 16:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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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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