Pacoima, CA —
OSHA Injury Report: Superior Grocers 111
Injury · Job transfer or restriction
At a glance
On , an injury at Superior Grocers 111 in Pacoima, CA 91331 resulted in job transfer or restriction. Employee was produce Clerk in grocery Store.
Where did this happen?
- Establishment
- Superior Grocers 111
- Parent company
- Superior Grocers
- Street
- 9801 Laurel Canyon Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- Store 111-PRO
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 24
Before the incident
lifting a box with ice
What happened
EE alleges [REDACTED] she was lifting a box (10 lbs) to dump out ice when she started to experience lower back pain.
Injury or illness
Sprain Strain Spasm
Object or substance involved
Box
Summary line
Lumbar sprain sciatica of right si de spina bifida occulta lumbar p ars defect.
Employee and industry
- Job description
- Produce Clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Grocery Store
- NAICS vintage
- 2012
- Avg employees
- 119
- Total hours worked
- 160239
- EIN
- 954519109
- Establishment ID
- 675706
- Employer case #
- 25022460
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted
- 17FEB26:21:42:00
Source
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.