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 19047 Bear Valley Rd, 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
- DELI PREP ROOM BY PREP TABLE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 33
Before the incident
Cooking Baking Production Other : TURNING AROUND TO PLACE SANDWICH IN A BOX
What happened
EE turned around to put sandwiches into a box; her foot slipped from under her. She fell; as she fell she scraped her right arm against the deli prep table.
Injury or illness
Cut Puncture Scrape : Cut Punctured Scraped by Object RIGHT ARM
Object or substance involved
Possibly a stack of floor mats by accident that may have caused fall. Also slice of pepperoni & pieces of ham on floor may have contributed to her fall.
Summary line
Cut Puncture Scrape : Cut Punctured Scraped by Object RIGHT ARM
Employee and industry
- Job description
- CLERK
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Store
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 175
- Hours worked at this establishment (2024 total)
- 256,661
- EIN
- 200602784
- Establishment ID
- 1330221
- Employer case #
- 107570
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-25
More injuries at Apple Valley 065
View Apple Valley 065's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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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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