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FONTANA, CA —

OSHA Injury Report: 0627 - FONTANA CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0627 - FONTANA CA in 16505 SIERRA LAKES PARKWAY, FONTANA, CA 48302 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0627 - FONTANA CA
Parent company
Costco Wholesale
Street
16505 SIERRA LAKES PARKWAY
City
FONTANA
State
CA
ZIP
48302
On-site location
BAKERY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
60

Before the incident

Stocking Bakery items in overstock

What happened

Bakery bags 50 to 60lbs moving and stocking bakery 5 days a week Pain in shoulder

Injury or illness

Strain Sprain Shoulder Left Side

Object or substance involved

Merchandise

Summary line

Strain Sprain Shoulder Left Side Lifting Merchandise

Employee and industry

Job description
MAINTENANCE ASST
SOC code
49-9071 — Maintenance and Repair Workers, General
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
349
Total hours worked
515032
EIN
911223280
Establishment ID
1217659
Employer case #
WC608G7555

When (timing detail)

Date of incident
Time of incident
9:00:00.000
Submitted
04MAR24:19:36:00

More injuries at 0627 - FONTANA CA

View 0627 - FONTANA 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.