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 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
- breakroom
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 111
Before the incident
on her break retrieving her food from the microwave
What happened
In the breakroom on lunch sttok up to gt food from microwave tripped on the leg of the chair table
Injury or illness
Inflammation swelling Head Left Side
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Head Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- CASHIER
- 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 #
- WC608G5733
When (timing detail)
- Date of incident
- Shift started
- 4:57:00.000
- Time of incident
- 10:00:00.000
- 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.