LAKE HAVASU CITY, AZ —
OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Injury · Other recordable case
At a glance
On , an injury at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ in LAKE HAVASU CITY, AZ 86403 resulted in other recordable case. Employee was manager Pharmac in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
- Parent company
- Albertsons LLC
- Street
- 1980 MCCULLOCH BLVD
- City
- LAKE HAVASU CITY
- State
- AZ
- ZIP
- 86403
- On-site location
- PHARMACY SALESFLOOR
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
SITTING ON STOOL LOOKING AT COMPUTER
What happened
EE fell offf stool hit left arm and hit back of head on counter and left arm on floor
Injury or illness
Sprained Left Lower arm Trip Counter
Object or substance involved
Counter
Summary line
EE fell offf stool hit left arm and hit back of head on counter and left arm on floor
Employee and industry
- Job description
- Manager Pharmac
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 125
- Total hours worked
- 201087
- EIN
- 820184434
- Establishment ID
- 1140251
- Employer case #
- 76733
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 17:15
- Filing year
- 2025
- Submitted
- 21FEB26:01:26:00
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.