SIMI VALLEY, CA ·
OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Injury · Other recordable case
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 other recordable case. 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CLEANING CASE EQUIPMENT OR TOOLS
What happened
slipped and fallen on greasy floor I watched the cameras and did not see him slip and fall
Injury or illness
Sprained Left Upper back Fall Greasy floor
Object or substance involved
Greasy floor
Summary line
slipped and fallen on greasy floor I watched the cameras and did not see him slip and fall
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 #
- 95317
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 18:30
- 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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