FONTANA, CA —
OSHA Injury Report: 0627 - FONTANA CA
Injury · Other recordable case
At a glance
On , an injury at 0627 - FONTANA CA in 16505 SIERRA LAKES PARKWAY, FONTANA, CA 48302 resulted in other recordable case. Employee was tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unknown at this time
What happened
Working with tires
Injury or illness
Strain Sprain Shoulder
Object or substance involved
Tire
Summary line
Strain Sprain Shoulder Pulling Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 349
- Total hours worked
- 515032
- EIN
- 911223280
- Establishment ID
- 1217659
- Employer case #
- WC608G4881
When (timing detail)
- Date of incident
- Submitted
- 04MAR24:19:36:00
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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.