LAKE ELSINORE, CA —
OSHA Injury Report: 0746 - LAKE ELSINORE CA
Injury · Days away from work
At a glance
On , an injury at 0746 - LAKE ELSINORE CA in LAKE ELSINORE, CA 91773 resulted in days away from work. Employee was cASHIER ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0746 - LAKE ELSINORE CA
- Parent company
- Costco Wholesale
- Street
- 29315 CENTRAL AVENUE
- City
- LAKE ELSINORE
- State
- CA
- ZIP
- 91773
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 81
Before the incident
using a hose to fill a bucket of water
What happened
EE was using the hose in the bakery to fill a bucket the hose retracted and caught her foot fell back hit head on rack
Injury or illness
Bruise or Contusion Head
Object or substance involved
Rack
Summary line
Bruise or Contusion Head Struck Against a Fixed Object Rack
Employee and industry
- Job description
- CASHIER ASST
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 288
- Total hours worked
- 441595
- EIN
- 911223280
- Establishment ID
- 1217270
- Employer case #
- WC608G4241
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 10:55:00.000
- Submitted
- 04MAR24:19:38:00
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.