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SAN DIMAS, CA —

OSHA Injury Report: 1015 - SAN DIMAS CA

Injury · Other recordable case

At a glance

On , an injury at 1015 - SAN DIMAS CA in 520 NORTH LONE HILL AVENUE, SAN DIMAS, CA 75033 resulted in other recordable case. Employee was cAKE DECORATOR in wholesale Grocer.

Where did this happen?

Establishment
1015 - SAN DIMAS CA
Parent company
Costco Wholesale
Street
520 NORTH LONE HILL AVENUE
City
SAN DIMAS
State
CA
ZIP
75033
On-site location
bakery table

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

moving table

What happened

EE was moving the table back into place She lifted the table and felt her arm pop snap

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Shoulder Right Side Lifting Tool Equipment Unclassified

Employee and industry

Job description
CAKE DECORATOR
SOC code
51-3092 — Food Batchmakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
341
Total hours worked
505916
EIN
911223280
Establishment ID
1217495
Employer case #
WC608G8310

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
6:00:00.000
Submitted
04MAR24:19:24:00

More injuries at 1015 - SAN DIMAS CA

View 1015 - SAN DIMAS CA's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.