UPLAND, CA ·
OSHA Injury Report: 20500002-707 STORE 707 - UPLAND
Injury · Days away from work
At a glance
On , an injury at 20500002-707 STORE 707 - UPLAND in 1028 N. MOUNTAIN AVE., UPLAND, CA 91786 resulted in days away from work. Employee was overnight load in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- 20500002-707 STORE 707 - UPLAND
- Parent company
- Smart & Final STORE 707 - UPLAND
- Street
- 1028 N. MOUNTAIN AVE.
- City
- UPLAND
- State
- CA
- ZIP
- 91786
- On-site location
- WORK STATION
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 60
- Days restricted or transferred
- 15
Before the incident
WORKING IN LADDER
What happened
EE asked a co worker for a ladder and turned around and the employee s knee completely dislocated and ee collapsed on the floor Noticed the knee cap visually separated from left leg Worked to push it back into place and waited for the paramedics
Injury or illness
Sprained Left Knee Bending Ladder
Object or substance involved
Ladder
Summary line
EE asked a co worker for a ladder and turned around and the employee s knee completely dislocated an
Employee and industry
- Job description
- Overnight load
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 42
- Hours worked at this establishment (2025 total)
- 48,460
- EIN
- 954297897
- Establishment ID
- 1117601
- Employer case #
- 14675
When (timing detail)
- Date of incident
- Shift started
- 01:00
- Time of incident
- 05:20
- 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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