Lake Forest, CA —
OSHA Injury Report: 703-00079
Injury · Days away from work
At a glance
On , an injury at 703-00079 in Lake Forest, CA 92630 resulted in days away from work. Employee was fRONT END COURT in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 703-00079
- Parent company
- Ralphs Grocery Company
- Street
- 21751 Lake Forest Dr
- City
- Lake Forest
- State
- CA
- ZIP
- 92630
- On-site location
- GROCERY SALES FLOOR AISLE 3
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
Before the incident
RETURNING GO BACKS
What happened
EE WAS WORKING ON GO BACKS AND FELL FORWARD EE LOST BALANCE AND FELL ON GROUND EE INJURED HER TEETH AND MOUTH AND HEAD IN PAIN WITH BLEEDING
Injury or illness
Lacerated Anterior Teeth Fall FLOOR
Object or substance involved
FLOOR
Summary line
Lacerated Anterior Teeth Fall FLOOR
Employee and industry
- Job description
- FRONT END COURT
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2012
- Avg employees
- 75
- Total hours worked
- 118889
- EIN
- 954356030
- Establishment ID
- 966961
- Employer case #
- 876979
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:30
- Filing year
- 2024
- Submitted
- 26FEB2025:21:56:00
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.