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 989 AVENDIA PICO, SAN CLEMENTE, CA 92673 resulted in days away from work. Employee was bakery Manager 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
- BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
FOOD PRODUCT PREP
What happened
grabbed hot pan from oven and burned fingers
Injury or illness
Burn Left Hand Hot object Hot pan
Object or substance involved
Hot pan
Summary line
grabbed hot pan from oven and burned fingers
Employee and industry
- Job description
- Bakery Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 107
- Hours worked at this establishment (2025 total)
- 179,655
- EIN
- 381623900
- Establishment ID
- 1142016
- Employer case #
- 105372
When (timing detail)
- Date of incident
- Shift started
- 00:20
- Time of incident
- 05:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-21
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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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