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RANCHO CUCAMONGA, CA —

OSHA Injury Report: 0678 - RANCHO CUCAMONGA CA

Injury · Days away from work

At a glance

On , an injury at 0678 - RANCHO CUCAMONGA CA in 11800 4TH STREET, RANCHO CUCAMONGA, CA 33759 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0678 - RANCHO CUCAMONGA CA
Parent company
Costco Wholesale
Street
11800 4TH STREET
City
RANCHO CUCAMONGA
State
CA
ZIP
33759
On-site location
Bakery Pan Washer

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
153
Days restricted or transferred
110

Before the incident

grabbing a hose

What happened

Was helping a coworker get a hose and a nozzle in Bakery stepped back and fell into pan washer pit

Injury or illness

Strain Sprain Knee Right Side

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Knee Right Side Fall from Same Level Tool Equipment Unclassified

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
362
Total hours worked
518975
EIN
911223280
Establishment ID
1217764
Employer case #
WC608G2988

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
9:45:00.000
Submitted
04MAR24:19:37:00

More injuries at 0678 - RANCHO CUCAMONGA CA

View 0678 - RANCHO CUCAMONGA 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.