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 5030 Hamner Ave., 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
- Employees at this establishment (2023 average)
- 333
- Hours worked at this establishment (2023 total)
- 510,217
- EIN
- 911223280
- Establishment ID
- 1218040
- Employer case #
- WC608G3145
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 15:30
- 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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