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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 132
Before the incident
Lifting chicken box
What happened
I was working lifting chickjen bone wieght 40 to 60 pounds Al least 60 box per tray
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Shoulder Left Side Lifting Deli [REDACTED]
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 #
- WC608G7287
When (timing detail)
- Date of incident
- Time of incident
- 7:00:00.000
- 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.