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LAKE ELSINORE, CA —

OSHA Injury Report: 0746 - LAKE ELSINORE CA

Injury · Days away from work

At a glance

On , an injury at 0746 - LAKE ELSINORE CA in 29315 CENTRAL AVENUE, LAKE ELSINORE, CA 91773 resulted in days away from work. Employee was cASHIER ASST in wholesale Grocer.

Where did this happen?

Establishment
0746 - LAKE ELSINORE CA
Parent company
Costco Wholesale
Street
29315 CENTRAL AVENUE
City
LAKE ELSINORE
State
CA
ZIP
91773
On-site location
BAKERY

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180
Days restricted or transferred
81

Before the incident

using a hose to fill a bucket of water

What happened

EE was using the hose in the bakery to fill a bucket the hose retracted and caught her foot fell back hit head on rack

Injury or illness

Bruise or Contusion Head

Object or substance involved

Rack

Summary line

Bruise or Contusion Head Struck Against a Fixed Object Rack

Employee and industry

Job description
CASHIER ASST
SOC code
41-2011 — Cashiers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
288
Total hours worked
441595
EIN
911223280
Establishment ID
1217270
Employer case #
WC608G4241

When (timing detail)

Date of incident
Shift started
5:00:00.000
Time of incident
10:55:00.000
Submitted
04MAR24:19:38:00

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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.