PALMDALE, CA ·
OSHA Injury Report: 20500002-920 STORE 920 - PALMDALE
Injury · Other recordable case
At a glance
On , an injury at 20500002-920 STORE 920 - PALMDALE in 5038 W. AVENUE N, PALMDALE, CA 93551 resulted in other recordable case. Employee was person in Charg in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- 20500002-920 STORE 920 - PALMDALE
- Parent company
- Smart & Final STORE 920 - PALMDALE
- Street
- 5038 W. AVENUE N
- City
- PALMDALE
- State
- CA
- ZIP
- 93551
- On-site location
- WORK STATION
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING
What happened
Top back left side of head EE Already Sought Treatment
Injury or illness
Bruised Scalp Bodily reaction Ground
Object or substance involved
Ground
Summary line
Top back left side of head EE Already Sought Treatment
Employee and industry
- Job description
- Person in Charg
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 62
- Hours worked at this establishment (2025 total)
- 69,223
- EIN
- 954297897
- Establishment ID
- 1117659
- Employer case #
- 14227
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 12:40
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-27
More injuries at 20500002-920 Store 920 - Palmdale
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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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