FONTANA, CA —
OSHA Injury Report: 0627 - FONTANA CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0627 - FONTANA CA in FONTANA, CA 48302 resulted in job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 49
Before the incident
Carrying out product
What happened
Tried to catch rack as it was falling over
Injury or illness
Strain Sprain Arm Right Side
Object or substance involved
Rack
Summary line
Strain Sprain Arm Right Side Struck by a Moving Object Rack
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 #
- WC608G5713
When (timing detail)
- Date of incident
- Time of incident
- 11:00:00.000
- 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.