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 MGR temporary W OT 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 COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 52
Before the incident
Cutting pizza
What happened
Cutting pizza and elbow gave out
Injury or illness
Strain Sprain Elbow Right Side
Object or substance involved
Knife
Summary line
Strain Sprain Elbow Right Side Repetitive Motion Knife
Employee and industry
- Job description
- MGR TEMPORARY W OT
- SOC code
- 9999: Uncoded
- 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 #
- WC608G8148
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
More injuries at 0028 - Laguna Niguel 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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