LOS ANGELES, CA ·
OSHA Injury Report: 20500002-363 STORE 363 - LOS ANGELES
Injury · Job transfer or restriction
At a glance
On , an injury at 20500002-363 STORE 363 - LOS ANGELES in 939 N. WESTERN AVE, LOS ANGELES, CA 90029 resulted in job transfer or restriction. Employee was cleaning in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- 20500002-363 STORE 363 - LOS ANGELES
- Parent company
- Smart & Final STORE 363 - LOS ANGELES
- Street
- 939 N. WESTERN AVE
- City
- LOS ANGELES
- State
- CA
- ZIP
- 90029
- On-site location
- RESTROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
CLEANING THE BATHROOM WITH HER CART
What happened
EE cleaning the bathroom with her cart and mop trying to get wring the mop out slipped and fell fell forward with left arm out to prevent hitting her face
Injury or illness
Strained Left Lower arm Fall on same level Wet floor
Object or substance involved
Wet floor
Summary line
EE cleaning the bathroom with her cart and mop trying to get wring the mop out slipped and fell f
Employee and industry
- Job description
- cleaning
- SOC code
- 37-2011: Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 54
- Hours worked at this establishment (2025 total)
- 77,169
- EIN
- 954297897
- Establishment ID
- 1117479
- Employer case #
- 14016
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 07:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-27
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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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