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 cake decorator 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
- bakery freezer
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 70
Before the incident
pulling item from freezer
What happened
walked into the freezer for an item then exited on opposite side and slipped on ice
Injury or illness
Bruise or Contusion Hip Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Hip Left Side Fall on Ice or Snow Floor Walking Surface
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092: Food Batchmakers
- 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 #
- WC608G2630
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 09:00
- 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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