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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0690 - LAGUNA MARKETPLACE CA

Injury · Days away from work

On , an injury at 0690 - LAGUNA MARKETPLACE CA in LAGUNA NIGUEL, CA 83815 resulted in days away from work. Employee was sUP HOURLY in wholesale Grocer.

Establishment
0690 - LAGUNA MARKETPLACE CA
Parent company
Costco Wholesale
Street
27220 HEATHER RIDGE ROAD
City
LAGUNA NIGUEL
State
CA
ZIP
83815
On-site location
TIRE SHOP
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
26

installing wheels on car

EE was installing wheels back on car and upon standing his back hurt and legs gave out

Strain Sprain Back Lower

Tire Changer

Strain Sprain Back Lower Holding or Carrying Tire Changer

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
327
Total hours worked
488386
EIN
911223280
Establishment ID
1217388
Employer case #
WC608G7994
Date of incident
Shift started
10:00:00.000
Time of incident
10:25:00.000
Submitted
04MAR24:19:38:00

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.