SAN JUAN CAPISTRAN, CA —
OSHA Injury Report: 0429 - SAN JUAN CAPISTRANO CA
Injury · Days away from work
At a glance
On , an injury at 0429 - SAN JUAN CAPISTRANO CA in SAN JUAN CAPISTRAN, CA 94080 resulted in days away from work. Employee was cASHIER ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0429 - SAN JUAN CAPISTRANO CA
- Parent company
- Costco Wholesale
- Street
- 33961 DOHENY PARK ROAD
- City
- SAN JUAN CAPISTRAN
- State
- CA
- ZIP
- 94080
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 147
Before the incident
Safety Floor Walk
What happened
[REDACTED] trip on a pallet and fell to the ground She injured her left shoulder
Injury or illness
Fracture Shoulder Left Side
Object or substance involved
Pallet
Summary line
Fracture Shoulder Left Side Stepped In On or Off Pallet
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 345
- Total hours worked
- 485571
- EIN
- 911223280
- Establishment ID
- 1217192
- Employer case #
- WC608G5241
When (timing detail)
- Date of incident
- Shift started
- 12:45:00.000
- Time of incident
- 19:05:00.000
- Submitted
- 04MAR24:19:34:00
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.