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Safety Incidents OSHA Severe Injury Reports · 2015–2025

TUSTIN, CA —

OSHA Injury Report: 0122 - TUSTIN RANCH CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0122 - TUSTIN RANCH CA in 2655 EL CAMINO REAL, TUSTIN, CA 93955 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
0122 - TUSTIN RANCH CA
Parent company
Costco Wholesale
Street
2655 EL CAMINO REAL
City
TUSTIN
State
CA
ZIP
93955
On-site location
INSIDE UNCLASSIFIED

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
36

Before the incident

He was going to put on his steel toe boots and get a drink

What happened

When walking into the breakroom Employee slipped and fell Hitting his kneww and chin

Injury or illness

Inflammation swelling Knee Right Side

Object or substance involved

Floor Walking Surface

Summary line

Inflammation swelling Knee Right Side Fall from liquid spill or grease Floor Walking Surface

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
311
Total hours worked
466782
EIN
911223280
Establishment ID
1217196
Employer case #
WC608G6910

When (timing detail)

Date of incident
Shift started
4:21:00.000
Time of incident
5:30:00.000
Submitted
04MAR24:19:27:00

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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.