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 LAGUNA NIGUEL, CA 93722 resulted in job transfer or restriction. Employee was sTOCKER 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
- HARDLINES
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
Stocking a Coke pallet
What happened
A forklift driver was picking up an empty board his forks became entangled with pallet resulting in [REDACTED] fell
Injury or illness
Strain Sprain Back Lower Right and Left Side
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Right and Left Side Caught In or Between Forklift
Employee and industry
- Job description
- STOCKER
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 283
- Total hours worked
- 404452
- EIN
- 911223280
- Establishment ID
- 1217199
- Employer case #
- WC608G5451
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 21:40:00.000
- Submitted
- 04MAR24:19:31:00
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.