Lake Elsinore, CA —
OSHA Injury Report: Tractor Supply Company Store 1991
Injury · Days away from work
At a glance
On , an injury at Tractor Supply Company Store 1991 in 18123 Collier Ave, Lake Elsinore, CA 92530 resulted in days away from work. Employee was team Member in general Merchandise Stores.
Where did this happen?
- Establishment
- Tractor Supply Company Store 1991
- Parent company
- Tractor Supply Company
- Street
- 18123 Collier Ave
- City
- Lake Elsinore
- State
- CA
- ZIP
- 92530
- On-site location
- Offsite
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
The IV Driver Was Returning From A Delivery
What happened
The Iv Driver Was Returning From A Delivery When It Was In A Headon Collision With The Ov On The Highway. There Is Damageto Both Veh. The Iv Driver Sustained An Injury.
Injury or illness
Contusion-Head - NOC
Object or substance involved
Vehicle Truck
Summary line
TM Struck or Against Vehicle - Truck in the Offsite causing Contusion of the Head - NOC
Employee and industry
- Job description
- Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 444240 — General Merchandise Stores
- NAICS vintage
- 2022
- Avg employees
- 18
- Total hours worked
- 24167
- EIN
- 920758772
- Establishment ID
- 742044
- Employer case #
- 0041690782
When (timing detail)
- Date of incident
- Time of incident
- 15:20:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:04:36:00
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Tractor Supply Company Store 1991
Lake Elsinore, CA—
Tractor Supply Company Store 1991
Lake Elsinore, CA—
Tractor Supply Company Store 1991
Lake Elsinore, CA—
Tractor Supply Company Store 1991
View Tractor Supply Company Store 1991's full OSHA safety record →
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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 — no per-record IMIS deep link exists.