SAN CLEMENTE, CA ·
OSHA Injury Report: ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
Injury · Days away from work
At a glance
On , an injury at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA in 989 AVENDIA PICO, SAN CLEMENTE, CA 92673 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
- Parent company
- The Vons Companies Inc
- Street
- 989 AVENDIA PICO
- City
- SAN CLEMENTE
- State
- CA
- ZIP
- 92673
- On-site location
- FRONT END
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
WALKING
What happened
employee tripped and injured her knee and right rib
Injury or illness
Fracture Left Knee Fall Front door
Object or substance involved
Front door
Summary line
employee tripped and injured her knee and right rib
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)
- 106
- Hours worked at this establishment (2024 total)
- 181,426
- EIN
- 381623900
- Establishment ID
- 1142016
- Employer case #
- 94831
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 13:45
- 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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