Apple Valley, CA —
OSHA Injury Report: Apple Valley 065
Injury · Job transfer or restriction
At a glance
On , an injury at Apple Valley 065 in Apple Valley, CA 923082712 resulted in job transfer or restriction. Employee was cLERK in store.
Where did this happen?
- Establishment
- Apple Valley 065
- Parent company
- WINCO FOODS
- Street
- 19047 Bear Valley Rd
- City
- Apple Valley
- State
- CA
- ZIP
- 923082712
- On-site location
- IN FRONT OF THE DELI SINK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Cooking Baking Production Walking
What happened
When walking past the deli sink she slipped on the floor falling down into the splits .
Injury or illness
Slip Trip and Fall : On Liquid RIGHT SHOULDER
Object or substance involved
Wet floor.
Summary line
Slip Trip and Fall : On Liquid RIGHT SHOULDER
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Store
- NAICS vintage
- 2022
- Avg employees
- 175
- Total hours worked
- 256661
- EIN
- 200602784
- Establishment ID
- 1330221
- Employer case #
- 105223
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 13:30
- Filing year
- 2024
- Submitted
- 25FEB2025:22:59:00
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.