LAGUNA NIGUEL, CA ·
OSHA Injury Report: 0028 - LAGUNA NIGUEL CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0028 - LAGUNA NIGUEL CA in 27972 CABOT ROAD, LAGUNA NIGUEL, CA 93722 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 0028 - LAGUNA NIGUEL CA
- Parent company
- Costco Wholesale
- Street
- 27972 CABOT ROAD
- City
- LAGUNA NIGUEL
- State
- CA
- ZIP
- 93722
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
Walking to the front to clock in
What happened
Employee was walking rapidly to the timeclock to punch in and tripped on a strap that was attached to a pallet
Injury or illness
Bruise or Contusion Knee Right Side
Object or substance involved
Pallet
Summary line
Bruise or Contusion Knee Right Side Stepped In On or Off Pallet
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 283
- Hours worked at this establishment (2023 total)
- 404,452
- EIN
- 911223280
- Establishment ID
- 1217199
- Employer case #
- WC608G5055
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- 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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