ONTARIO, CA ·
OSHA Injury Report: 20500002-408 STORE 408 - ONTARIO
Injury · Other recordable case
At a glance
On , an injury at 20500002-408 STORE 408 - ONTARIO in 1337 E. 4TH ST., ONTARIO, CA 91764 resulted in other recordable case. Employee was part time assoc in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- 20500002-408 STORE 408 - ONTARIO
- Parent company
- Smart and Final STORE
- Street
- 1337 E. 4TH ST.
- City
- ONTARIO
- State
- CA
- ZIP
- 91764
- On-site location
- FRONT END OF STORE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
TELLING PERSON TO LEAVE THE STORE
What happened
The employee was punched on his mouth and jaw by a person that came into the store He sustained a laceration to his lower lip and has jaw and teeth pain EE will seek MD treatment
Injury or illness
Lacerated Mouth Struck by individual Person
Object or substance involved
Person
Summary line
The employee was punched on his mouth and jaw by a person that came into the store He sustained a l
Employee and industry
- Job description
- PART TIME ASSOC
- SOC code
- 9999: Uncoded
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 100
- Hours worked at this establishment (2024 total)
- 58,895
- EIN
- 954297897
- Establishment ID
- 1117512
- Employer case #
- 13250
When (timing detail)
- Date of incident
- Shift started
- 22:11
- Time of incident
- 17:00
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at 20500002-408 Store 408 - Ontario
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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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