NORTH HOLLYWOOD, CA ·
OSHA Injury Report: 20500002-374 STORE 374 - NORTH HOLLYWOOD
Injury · Other recordable case
At a glance
On , an injury at 20500002-374 STORE 374 - NORTH HOLLYWOOD in 6601 N. LAUREL CANYON BLVD., NORTH HOLLYWOOD, CA 91606 resulted in other recordable case. Employee was part Time Perso in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- 20500002-374 STORE 374 - NORTH HOLLYWOOD
- Parent company
- Smart and Final STORE
- Street
- 6601 N. LAUREL CANYON BLVD.
- City
- NORTH HOLLYWOOD
- State
- CA
- ZIP
- 91606
- On-site location
- NORTH HOLLOWAY CA FLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
FALL FROM LADDER
What happened
fell to the floor from 4 foot ladder at work Low back Medical unknown
Injury or illness
Bruised Posterior Low back Fall from ladder scaffold Fell onto the floor
Object or substance involved
Fell onto the floor
Summary line
fell to the floor from 4 foot ladder at work Low back Medical unknown
Employee and industry
- Job description
- Part Time Perso
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 132
- Hours worked at this establishment (2024 total)
- 78,056
- EIN
- 954297897
- Establishment ID
- 1117489
- Employer case #
- 13811
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
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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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