TEMECULA, CA —
OSHA Injury Report: 0491 - TEMECULA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0491 - TEMECULA CA in TEMECULA, CA 91763 resulted in job transfer or restriction. Employee was mGR DEPT W OT in wholesale Grocer.
Where did this happen?
- Establishment
- 0491 - TEMECULA CA
- Parent company
- Costco Wholesale
- Street
- 26610 YNEZ RD
- City
- TEMECULA
- State
- CA
- ZIP
- 91763
- On-site location
- FOOD AND SUNDRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 72
Before the incident
Walking down the main foods aisle
What happened
Walking down main aisle tripped over own feet landed on concrete
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Shoulder Left Side Walking Floor Walking Surface
Employee and industry
- Job description
- MGR DEPT W OT
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 401
- Total hours worked
- 601957
- EIN
- 911223280
- Establishment ID
- 1217271
- Employer case #
- WC608G7007
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 7:30:00.000
- Submitted
- 04MAR24:19:35:00
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.