Fontana, CA ·
OSHA Injury Report: Vistar Southern California - 1050
Injury · Job transfer or restriction
At a glance
On , an injury at Vistar Southern California - 1050 in 16270 Jurupa Ave Suite 100, Fontana, CA 92337 resulted in job transfer or restriction. Employee was selector Formula.
Where did this happen?
- Establishment
- Vistar Southern California - 1050
- Street
- 16270 Jurupa Ave Suite 100
- City
- Fontana
- State
- CA
- ZIP
- 92337
- On-site location
- Vistar Southern California 1050 MN Aisle
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 135
Before the incident
Strain Injury by Lifting
What happened
[REDACTED] informed us the pain in his lower back had gotten worse and was sent to the clinic on [REDACTED] [REDACTED] is currently on workers comp
Injury or illness
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Lifting
Object or substance involved
Product Freight 0 40 lbs
Summary line
Cause Strain or Injury By Body Part Low Back Area Body Part Position Detail Cause Strain Injury by Lifting
Employee and industry
- Job description
- Selector Formula
- SOC code
- 51-9061: Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 424410
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 188
- Hours worked at this establishment (2023 total)
- 455,633
- EIN
- 840629503
- Establishment ID
- 205949
- Employer case #
- 1201WC2303
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-06
More injuries at Vistar Southern California - 1050
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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