Pacoima, CA —
OSHA Injury Report: 704-00377
Injury · Days away from work
At a glance
On , an injury at 704-00377 in Pacoima, CA 91331 resulted in days away from work. Employee was deli Bakery Cle in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00377
- Parent company
- Food 4 Less FoodsCo
- Street
- 12765 Van Nuys Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- FRONT END AT REGISTER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 18
- Days restricted or transferred
- 15
Before the incident
STEPPING OVER LANE CHAIN WHILE CARRYING CHAIR
What happened
EE was walking up for her lunch and she tried to cross over chain and she tripped and fell Injuries: buttocks hurt tightness in neck and pain in knee
Injury or illness
Strained Posterior Neck Fall on same level FLOOR
Object or substance involved
FLOOR
Summary line
Strained Posterior Neck Fall on same level FLOOR
Employee and industry
- Job description
- Deli Bakery Cle
- SOC code
- 51-3011 — Bakers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 81
- Total hours worked
- 118106
- EIN
- 951456805
- Establishment ID
- 967172
- Employer case #
- 874560
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 17:13
- Filing year
- 2024
- Submitted
- 25FEB2025:19:10:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.