LAKE ELSINORE, CA —
OSHA Injury Report: 0746 - LAKE ELSINORE CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0746 - LAKE ELSINORE CA in LAKE ELSINORE, CA 91773 resulted in job transfer or restriction. Employee was tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 32
Before the incident
Mounting Tires
What happened
EE was changing a tie on a Jeep with failing Center Caps when he used a jerking motion to mount wheels
Injury or illness
Strain Sprain Back Lower
Object or substance involved
Tire Balancer
Summary line
Strain Sprain Back Lower Lifting Tire Balancer
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 288
- Total hours worked
- 441595
- EIN
- 911223280
- Establishment ID
- 1217270
- Employer case #
- WC608G8111
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 16:00:00.000
- 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.