SIMI VALLEY, CA ·
OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Injury · Days away from work
At a glance
On , an injury at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in days away from work. Employee was GM HBC Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
- Parent company
- Albertsons LLC
- Street
- 1268 MADERA ROAD
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 93065
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 123
Before the incident
FOOD PRODUCT PREP
What happened
taking chicken out of the oven and slipped on a floor that had grease on it
Injury or illness
Strained Skull Struck by object Slippery floor
Object or substance involved
Slippery floor
Summary line
taking chicken out of the oven and slipped on a floor that had grease on it
Employee and industry
- Job description
- GM HBC Clerk
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 102
- Hours worked at this establishment (2024 total)
- 159,374
- EIN
- 820184434
- Establishment ID
- 1140500
- Employer case #
- 94010
When (timing detail)
- Date of incident
- Shift started
- 08:30
- Time of incident
- 15:50
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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