San Luis Obispo, CA ·
OSHA Injury Report: Madonna Inn, Inc
Injury · Days away from work
At a glance
On , an injury at Madonna Inn, Inc in 100 Madonna Road, San Luis Obispo, CA 93405 resulted in days away from work. Employee was server in hotels, resort, without casinos.
Where did this happen?
- Establishment
- Madonna Inn, Inc
- Street
- 100 Madonna Road
- City
- San Luis Obispo
- State
- CA
- ZIP
- 93405
- On-site location
- KITCHEN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 66
Before the incident
LIFTING FOOD TRAY
What happened
FELT POP IN UPPER GROIN AREA WHEN LIFTING [REDACTED]
Injury or illness
LEFT INGUINAL HERNIA
Object or substance involved
FOOD TRAY
Summary line
[REDACTED] [REDACTED] FROM LIFTING FOOD [REDACTED]
Employee and industry
- Job description
- SERVER
- SOC code
- 35-3041: Food Servers, Nonrestaurant
- NAICS code
- 721110: Hotels, resort, without casinos
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 269
- Hours worked at this establishment (2024 total)
- 389,423
- EIN
- 412163639
- Establishment ID
- 319327
- Employer case #
- 14
When (timing detail)
- Date of incident
- Time of incident
- 22:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-28
More injuries at Madonna Inn, Inc
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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