SAN CLEMENTE, CA —
OSHA Injury Report: ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
Injury · Days away from work
At a glance
On , an injury at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA in SAN CLEMENTE, CA 92673 resulted in days away from work. Employee was produce clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
- Parent company
- The Vons Companies Inc
- Street
- 989 AVENDIA PICO
- City
- SAN CLEMENTE
- State
- CA
- ZIP
- 92673
- On-site location
- BACKROOM COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
- Days restricted or transferred
- 49
Before the incident
FLOOR MAINTENANCE
What happened
EE fell while mopping the floor Slip and fall while wringing a mop L elbow injured
Injury or illness
Sprained Left Lower arm Fall Mop
Object or substance involved
Mop
Summary line
EE fell while mopping the floor Slip and fall while wringing a mop L elbow injured
Employee and industry
- Job description
- Produce clerk
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 107
- Total hours worked
- 179655
- EIN
- 381623900
- Establishment ID
- 1142016
- Employer case #
- 104092
When (timing detail)
- Date of incident
- Shift started
- 21:00
- Time of incident
- 20:28
- Filing year
- 2025
- Submitted
- 21FEB26:01:38:00
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.