SAN PABLO, CA ·
OSHA Injury Report: 20500002-568 STORE 568 - SAN PABLO
Injury · Other recordable case
At a glance
On , an injury at 20500002-568 STORE 568 - SAN PABLO in 13110 SAN PABLO AVENUE, SAN PABLO, CA 94805 resulted in other recordable case. Employee was clerk 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
- PRODUCE DEPARTMENT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
SQUATTING DOWN IN AREA
What happened
EE was squatting down facing a shelf in the produce department When he stood up he felt a spasm in his lower back
Injury or illness
Strained Posterior Low back Overexertion Floor
Object or substance involved
Floor
Summary line
EE was squatting down facing a shelf in the produce department When he stood up he felt a spasm i
Employee and industry
- Job description
- clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 14740
When (timing detail)
- Date of incident
- Shift started
- 00:00
- 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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