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LAKE ELSINORE, CA —

OSHA Injury Report: 0746 - LAKE ELSINORE CA

Injury · Job transfer or restriction

At a glance

On , an injury at 0746 - LAKE ELSINORE CA in 29315 CENTRAL AVENUE, LAKE ELSINORE, CA 91773 resulted in job transfer or restriction. Employee was tIRE INSTALLER 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
TIRE SHOP

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
32

Before the incident

Mounting Tires

What happened

EE was changing a tie on a Jeep with failing Center Caps when he used a jerking motion to mount wheels

Injury or illness

Strain Sprain Back Lower

Object or substance involved

Tire Balancer

Summary line

Strain Sprain Back Lower Lifting Tire Balancer

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
288
Total hours worked
441595
EIN
911223280
Establishment ID
1217270
Employer case #
WC608G8111

When (timing detail)

Date of incident
Shift started
15:30:00.000
Time of incident
16:00:00.000
Filing year
2023
Submitted
04MAR24:19:38:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.