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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 20500002-522 STORE 522 - MONTEBELLO

Injury · Job transfer or restriction

On , an injury at 20500002-522 STORE 522 - MONTEBELLO in MONTEBELLO, CA 90640 resulted in job transfer or restriction. Employee was associate in supermarkets and Other Grocery Retailers (except Convenience Retailers).

Establishment
20500002-522 STORE 522 - MONTEBELLO
Parent company
Smart & Final STORE 522 - MONTEBELLO
Street
855 N. WILCOX
City
MONTEBELLO
State
CA
ZIP
90640
On-site location
SALESFLOOR
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
4

WALKING WITH THE POWERJACK

He was walking with a powerjack and got distracted and looked back and he didn t have enough time to stop the power jack and his foot got caught between it and a pallet Injured Left FOOTFuture Medical Treatment

Sprained Left Foot Caught in object handled Powerjack

Powerjack

He was walking with a powerjack and got distracted and looked back and he didn t have enough time to

Job description
Associate
SOC code
00-9900 — Insufficient Information - NIOSH
NAICS code
445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
NAICS vintage
2022
Avg employees
54
Total hours worked
80674
EIN
954297897
Establishment ID
1117577
Employer case #
13849
Date of incident
Shift started
12:00
Time of incident
16:40
Filing year
2025
Submitted
27JAN26:14:56:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.