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 rX TECH CERT 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 72
Before the incident
throwing away trash
What happened
Slipped and fell and hit back of head
Injury or illness
Inflammation swelling Head
Object or substance involved
Floor Walking Surface
Summary line
Inflammation swelling Head Walking Floor Walking Surface
Employee and industry
- Job description
- RX TECH CERT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 345
- Total hours worked
- 485571
- EIN
- 911223280
- Establishment ID
- 1217192
- Employer case #
- WC608G6986
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 20:30:00.000
- 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.