SANTA ANA, CA ·
OSHA Injury Report: 20500002-519 STORE 519 - SANTA ANA
Injury · Other recordable case
At a glance
On , an injury at 20500002-519 STORE 519 - SANTA ANA in 1523 WEST 17TH STREET, SANTA ANA, CA 92706 resulted in other recordable case. Employee was deli manager in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- 20500002-519 STORE 519 - SANTA ANA
- Parent company
- Smart and Final STORE
- Street
- 1523 WEST 17TH STREET
- City
- SANTA ANA
- State
- CA
- ZIP
- 92706
- On-site location
- SALES FLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE WAS LIFTING A BOX
What happened
He lifted a box and hurt his lower back He cannot bend down normally Pain 6 10 Referred to a provider
Injury or illness
Strained Posterior Low back Lifting Box
Object or substance involved
Box
Summary line
He lifted a box and hurt his lower back He cannot bend down normally Pain 6 10 Referred to a prov
Employee and industry
- Job description
- Deli manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 103
- Hours worked at this establishment (2024 total)
- 76,319
- EIN
- 954297897
- Establishment ID
- 1117575
- Employer case #
- 13148
When (timing detail)
- Date of incident
- Shift started
- 18:00
- Time of incident
- 08:20
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at 20500002-519 Store 519 - Santa ANA
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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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