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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 sUP HOURLY 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
FOOD AND SUNDRY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
15

Before the incident

lifting

What happened

Lifted a heavy item to throw away in freezer and hurt back

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Merchandise

Summary line

Strain Sprain Back Lower Lifting Merchandise

Employee and industry

Job description
SUP HOURLY
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
345
Total hours worked
485571
EIN
911223280
Establishment ID
1217192
Employer case #
WC608G4754

When (timing detail)

Date of incident
Shift started
10:32:00.000
Time of incident
18:30:00.000
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.