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
- BACKROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 44
Before the incident
PULLING MANUAL [REDACTED]
What happened
pulling a manual pallet jack backwards in the back room receiving area and ran over his left big toe
Injury or illness
Bruised Bilateral Toe s Caught in machinery Manual pallet jack
Object or substance involved
Manual pallet jack
Summary line
pulling a manual pallet jack backwards in the back room receiving area and ran over his left big toe
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 #
- 100396
When (timing detail)
- Date of incident
- Shift started
- 10:04
- Time of incident
- 16:23
- 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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