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 food 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
- COOLER DAIRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
He Was Filling Milk When He Felt A Pinch In His Lower Back
Injury or illness
Strained Posterior Upper back Carrying Milk
Object or substance involved
Milk
Summary line
He Was Filling Milk When He Felt A Pinch In His Lower Back
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 102162
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 09:00
- 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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