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 MGR dept W OT 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
- Rotisserie room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 36
Before the incident
cleaning
What happened
Was moving rotisserie ovens when noticed lower back pain
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Oven
Summary line
Strain Sprain Back Lower Right Side Pulling Oven
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999: Uncoded
- 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 #
- WC608G2070
When (timing detail)
- Date of incident
- Shift started
- 13:30
- Time of incident
- 19:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 1317 - Eastvale 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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