SAN PABLO, CA ·
OSHA Injury Report: 20500002-568 STORE 568 - SAN PABLO
Injury · Job transfer or restriction
At a glance
On , an injury at 20500002-568 STORE 568 - SAN PABLO in 13110 SAN PABLO AVENUE, SAN PABLO, CA 94805 resulted in job transfer or restriction. Employee was PT associate 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
- LOADING AREA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 66
Before the incident
EE WAS LOADING CHICKEN
What happened
After EE lifted 10lb boxes of chicken they felt lower back pain The EE strained their mid lower back The constant pain is 8 10 The EE took Tylenol The pain radiates to the tailbone area The EE is experiencing hot flashes The nurse provided car
Injury or illness
Strained Posterior Low back Lifting Chicken
Object or substance involved
Chicken
Summary line
After EE lifted 10lb boxes of chicken they felt lower back pain The EE strained their mid lower ba
Employee and industry
- Job description
- PT associate
- SOC code
- 9999: Uncoded
- 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 #
- 13109
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 11:30
- 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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