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SAN LUIS OBISPO, CA —

OSHA Injury Report: 0741 - SAN LUIS OBISPO CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0741 - SAN LUIS OBISPO CA in 1540 FROOM RANCH WAY, SAN LUIS OBISPO, CA 87114 resulted in job transfer or restriction. Employee was mAINTENANCE ASST in wholesale Grocer.

Where did this happen?

Establishment
0741 - SAN LUIS OBISPO CA
Parent company
Costco Wholesale
Street
1540 FROOM RANCH WAY
City
SAN LUIS OBISPO
State
CA
ZIP
87114
On-site location
BAKERY

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
5

Before the incident

cleaning

What happened

fell into pan washer drain pit

Injury or illness

Strain Sprain Shoulder Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Shoulder Right Side Fall from Different Level Floor Walking Surface

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
324
Total hours worked
489704
EIN
911223280
Establishment ID
1217328
Employer case #
WC608G8407

When (timing detail)

Date of incident
Shift started
12:00:00.000
Time of incident
17:00:00.000
Submitted
04MAR24:19:38:00

More injuries at 0741 - SAN LUIS OBISPO CA

View 0741 - SAN LUIS OBISPO 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.