Fontana, CA ·
OSHA Injury Report: Vistar Southern California - 1050
Injury · Other recordable case
At a glance
On , an injury at Vistar Southern California - 1050 in 16270 Jurupa Ave Suite 100, Fontana, CA 92337 resulted in other recordable case. 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 RE aisle
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain Injury by Lifting
What happened
[REDACTED] was selecting in the cooler when he felt pain on his arm shoulder
Injury or illness
Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Strain Injury by Lifting
Object or substance involved
Order Picker
Summary line
Cause Strain or Injury By Body Part Upper Arm Including Clavicle Scapula 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 #
- 1201WC2403
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 20:00
- 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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