Eastvale, CA —
OSHA Injury Report: 1317 - EASTVALE CA
Other illness · Other recordable case
At a glance
On , an other illness at 1317 - EASTVALE CA in Eastvale, CA 00680 resulted in other recordable case. Employee was fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
prepping dough
What happened
Employee was preparing dough in the food court he suddenly felt weird and fell hit his head and had a seizure
Injury or illness
Dizziness Fainting Head
Object or substance involved
Floor Walking Surface
Summary line
Dizziness Fainting Head Fall from Different Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 333
- Total hours worked
- 510217
- EIN
- 911223280
- Establishment ID
- 1218040
- Employer case #
- WC608G3145
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 15:30:00.000
- Submitted
- 04MAR24:19:28:00
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.