FONTANA, CA —
OSHA Injury Report: 0627 - FONTANA CA
Injury · Days away from work
At a glance
On , an injury at 0627 - FONTANA CA in FONTANA, CA 48302 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 0627 - FONTANA CA
- Parent company
- Costco Wholesale
- Street
- 16505 SIERRA LAKES PARKWAY
- City
- FONTANA
- State
- CA
- ZIP
- 48302
- On-site location
- Deli Cooler
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 367
- Days restricted or transferred
- 84
Before the incident
working in the deli
What happened
lifting a box of cocktail sauce from the steel and hurt shoulder
Injury or illness
Fracture Shoulder Right Side
Object or substance involved
Foreign Body
Summary line
Fracture Shoulder Right Side Foreign Body Foreign Body
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 349
- Total hours worked
- 515032
- EIN
- 911223280
- Establishment ID
- 1217659
- Employer case #
- WC608G1887
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Submitted
- 04MAR24:19:36:00
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.