VICTORVILLE, CA ·
OSHA Injury Report: 2603-26030022 V22
Injury · Job transfer or restriction
At a glance
On , an injury at 2603-26030022 V22 in 12351 MARIPOSA RD., VICTORVILLE, CA 92395 resulted in job transfer or restriction. Employee was grocery Stocker in independent Supermarket.
Where did this happen?
- Establishment
- 2603-26030022 V22
- Parent company
- Vallarta Food Enterprises dba Vallarta Supermarkets
- Street
- 12351 MARIPOSA RD.
- City
- VICTORVILLE
- State
- CA
- ZIP
- 92395
- On-site location
- Produce department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
TM was bending down to stock produce.
What happened
TM was bending down to stock produce and upon attempting to stand upright he experienced back pain.
Injury or illness
strain back pain
Object or substance involved
bending down
Summary line
strain lower back
Employee and industry
- Job description
- Grocery Stocker
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Independent Supermarket
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 158
- Hours worked at this establishment (2025 total)
- 262,637
- EIN
- 954758260
- Establishment ID
- 407350
- Employer case #
- 1558-WC-2
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-20
More injuries at 2603-26030022 V22
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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