FAIRFIELD, CA —
OSHA Injury Report: 0453 - FAIRFIELD CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0453 - FAIRFIELD CA in FAIRFIELD, CA 85027 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0453 - FAIRFIELD CA
- Parent company
- Costco Wholesale
- Street
- 5101 BUSINESS CENTER DR
- City
- FAIRFIELD
- State
- CA
- ZIP
- 85027
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
Cleaning ice cream machine
What happened
Fell into drain
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Food Court Steam Table Hot Dog
Summary line
Bruise or Contusion Shoulder Left Side Caught In or Between Food Court Steam Table Hot Dog
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 243
- Total hours worked
- 367518
- EIN
- 911223280
- Establishment ID
- 1217360
- Employer case #
- WC608G8007
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 21:35:00.000
- 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.