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 SAN PABLO, CA 94805 resulted in days away from work. Employee was pART TIME ASSOC 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
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 93
Before the incident
CLOSING A METAL IRON DOOR
What happened
EE reported that while closing a metal iron door it fell onto the left side of his head at the top The incident occurred [REDACTED] He experienced significant swelling about 1 5 inches to the scalp without bleeding bruising o
Injury or illness
Bruised Left Head Struck by object being handled Metal iron door
Object or substance involved
Metal iron door
Summary line
EE reported that while closing a metal iron door it fell onto the left side of his head at the top
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
- Avg employees
- 116
- Total hours worked
- 71578
- EIN
- 954297897
- Establishment ID
- 1117584
- Employer case #
- 13734
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 19:35
- Filing year
- 2024
- Submitted
- 27FEB2025:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.