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 forklift Operator 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 aisle T
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Struck by Falling Flying Object
What happened
[REDACTED] was replenishing and while looking up derby entered his right eye
Injury or illness
Cause Struck or Injured By Body Part Eye s Body Part Position Right Detail Cause Struck by Falling Flying Object
Object or substance involved
Pallet Skids
Summary line
Cause Struck or Injured By Body Part Eye s Body Part Position Right Detail Cause Struck by Falling Flying Object
Employee and industry
- Job description
- Forklift Operator Formula
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- 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
- 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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