SAN LUIS OBISPO, CA ·
OSHA Injury Report: SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA
Injury · Job transfer or restriction
At a glance
On , an injury at SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA in 3900 BROAD STREET, SAN LUIS OBISPO, CA 93401 resulted in job transfer or restriction. Employee was food Clerk in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA
- Parent company
- The Vons Companies Inc
- Street
- 3900 BROAD STREET
- City
- SAN LUIS OBISPO
- State
- CA
- ZIP
- 93401
- On-site location
- STOCK ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
LIFTING CASE OF WATER
What happened
[REDACTED] Alleges Approximately 4 Days Ago He Was Working In The Stock Room With Water And As He Was Lifting The Case Up He Felt A pop In His R Shoulder That Later Lead To Pain
Injury or illness
Sprained Right Shoulder s Lifting Case
Object or substance involved
Case
Summary line
[REDACTED] Alleges Approximately 4 Days Ago He Was Working In The Stock Room With Water And As He Was Lifting The Case Up He Felt A pop In His R Shoulder That Later Lead To Pain
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)
- 133
- Hours worked at this establishment (2024 total)
- 200,473
- EIN
- 381623900
- Establishment ID
- 1142154
- Employer case #
- 93943
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 00:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
More injuries at SWY-0029-0029-02306 Fac-02306-San Luis Obispo-Ca
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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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