SAN JOSE, CA ·
OSHA Injury Report: 20500002-829 STORE 829 - SAN JOSE
Injury · Days away from work
At a glance
On , an injury at 20500002-829 STORE 829 - SAN JOSE in 430 BLOSSOM HILL RD, SAN JOSE, CA 95123 resulted in days away from work. Employee was deli Manager in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- 20500002-829 STORE 829 - SAN JOSE
- Parent company
- Smart and Final STORE
- Street
- 430 BLOSSOM HILL RD
- City
- SAN JOSE
- State
- CA
- ZIP
- 95123
- On-site location
- SALESFLOOR
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 42
Before the incident
WALKING NORMAL DUTIES
What happened
The [REDACTED] was walking when she accidentally slipped because there was milk on the floor The [REDACTED] noted she did not fall down but hit her left rib on the edge of a hard plastic crate The [REDACTED] has pain when d[REDACTED]p breathing The [REDACTED] cannot stand up straight d
Injury or illness
Fracture Left Chest Slipped Milk
Object or substance involved
Milk
Summary line
The [REDACTED] was walking when she accidentally slipped because there was milk on the floor The [REDACTED] noted
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)
- 119
- Hours worked at this establishment (2024 total)
- 61,048
- EIN
- 954297897
- Establishment ID
- 1117648
- Employer case #
- 13421
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 18:31
- 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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