SAN JUAN CAPISTRAN, CA —
OSHA Injury Report: 0429 - SAN JUAN CAPISTRANO CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0429 - SAN JUAN CAPISTRANO CA in SAN JUAN CAPISTRAN, CA 94080 resulted in job transfer or restriction. 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
- FOOD SERVICE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 24
Before the incident
walking
What happened
A bag of Ice was brought to self check out and broke open [REDACTED] walked up to the register and slipped on the Ice
Injury or illness
Inflammation swelling Wrist Left Side
Object or substance involved
Merchandise
Summary line
Inflammation swelling Wrist Left Side Fall from liquid spill or grease Merchandise
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 #
- WC608G5160
When (timing detail)
- Date of incident
- Shift started
- 9:45:00.000
- Time of incident
- 16:30:00.000
- 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.