SAN PABLO, CA ·
OSHA Injury Report: 20500002-568 STORE 568 - SAN PABLO
Injury · Days away from work
At a glance
On , an injury at 20500002-568 STORE 568 - SAN PABLO in 13110 SAN PABLO AVENUE, SAN PABLO, CA 94805 resulted in days away from work. Employee was assistant Mngr in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- 20500002-568 STORE 568 - SAN PABLO
- Parent company
- Smart and Final STORE
- Street
- 13110 SAN PABLO AVENUE
- City
- SAN PABLO
- State
- CA
- ZIP
- 94805
- On-site location
- SALES FLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
EE WAS CLENAING A SPILL
What happened
[REDACTED] was cleaning up a spill with a paper towel under her left foot While moving her foot forward her lower back locked up Medical was sought
Injury or illness
Strained Posterior Low back Overexertion Ground
Object or substance involved
Ground
Summary line
[REDACTED] was cleaning up a spill with a paper towel under her left foot While moving her foot for
Employee and industry
- Job description
- Assistant Mngr
- 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)
- 116
- Hours worked at this establishment (2024 total)
- 71,578
- EIN
- 954297897
- Establishment ID
- 1117584
- Employer case #
- 13113
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 15:00
- 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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