Fontana, CA ·
OSHA Injury Report: Vistar Southern California - 1050
Injury · Days away from work
At a glance
On , an injury at Vistar Southern California - 1050 in 16270 Jurupa Ave Suite 100, Fontana, CA 92337 resulted in days away from work. 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 FJ Aisle
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 159
Before the incident
Struck by Falling Flying Object
What happened
[REDACTED] informed us our dropman [REDACTED] was dropping a pallet when he accidentally knocked down a yellow pole causing it to hit the reach truck and hit [REDACTED] in the arm The nurse was called and [REDACTED] was taken to the emergency room
Injury or illness
Cause Struck or Injured By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Struck by Falling Flying Object
Object or substance involved
Metal Item
Summary line
Cause Struck or Injured By Body Part Upper Arm Including Clavicle Scapula Body Part Position Detail Cause Struck by Falling Flying Object
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
- 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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