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SAN JUAN CAPISTRAN, CA —

OSHA Injury Report: 0429 - SAN JUAN CAPISTRANO CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0429 - SAN JUAN CAPISTRANO CA in 33961 DOHENY PARK ROAD, SAN JUAN CAPISTRAN, CA 94080 resulted in job transfer or restriction. Employee was bAKER in wholesale Grocer.

Where did this happen?

Establishment
0429 - SAN JUAN CAPISTRANO CA
Parent company
Costco Wholesale
Street
33961 DOHENY PARK ROAD
City
SAN JUAN CAPISTRAN
State
CA
ZIP
94080
On-site location
BAKERY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
12

Before the incident

lifting

What happened

lifting a heavy item

Injury or illness

Strain Sprain Back Lower Right Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Back Lower Right Side Lifting Merchandise

Employee and industry

Job description
BAKER
SOC code
51-3011 — Bakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
345
Total hours worked
485571
EIN
911223280
Establishment ID
1217192
Employer case #
WC608G4755

When (timing detail)

Date of incident
Shift started
5:00:00.000
Submitted
04MAR24:19:34:00

More injuries at 0429 - SAN JUAN CAPISTRANO CA

View 0429 - SAN JUAN CAPISTRANO 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.