SAN PABLO, CA ·
OSHA Injury Report: 20500002-568 STORE 568 - SAN PABLO
Injury · Job transfer or restriction
At a glance
On , an injury at 20500002-568 STORE 568 - SAN PABLO in 13110 SAN PABLO AVENUE, SAN PABLO, CA 94805 resulted in job transfer or restriction. Employee was sr Asst Manage in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- 20500002-568 STORE 568 - SAN PABLO
- Parent company
- Smart & Final STORE 568 - SAN PABLO
- Street
- 13110 SAN PABLO AVENUE
- City
- SAN PABLO
- State
- CA
- ZIP
- 94805
- On-site location
- RECEIVING AREA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
WALKING TO BACK AREA
What happened
Employee walked to the back room and the receiving gate wasopen As she went to close the gate it fell toward her striking theback of her head
Injury or illness
Bruised Neck Struck by object Gate
Object or substance involved
Gate
Summary line
Employee walked to the back room and the receiving gate wasopen As she went to close the gate it
Employee and industry
- Job description
- Sr Asst Manage
- 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 (2025 average)
- 65
- Hours worked at this establishment (2025 total)
- 79,427
- EIN
- 954297897
- Establishment ID
- 1117584
- Employer case #
- 14121
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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