SAN JUAN CAPISTRAN, CA —
OSHA Injury Report: 0429 - SAN JUAN CAPISTRANO CA
Injury · Other recordable case
At a glance
On , an injury at 0429 - SAN JUAN CAPISTRANO CA in SAN JUAN CAPISTRAN, CA 94080 resulted in other recordable case. Employee was oPTICIAN LIC 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
lifting
What happened
lifting box into cart
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Shoulder Left Side Lifting Merchandise
Employee and industry
- Job description
- OPTICIAN LIC
- 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 #
- WC608G8518
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 9:30:00.000
- 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.