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 clerk Seafood 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 FREEZER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
WALKING
What happened
[REDACTED] slipped in freezer and fell down and hurt his left knee
Injury or illness
Inflamed Left Knee Fall Floor
Object or substance involved
Floor
Summary line
[REDACTED] slipped in freezer and fell down and hurt his left knee
Employee and industry
- Job description
- Clerk Seafood
- SOC code
- 53-7065: Stockers and Order Fillers
- 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 #
- 110492
When (timing detail)
- Date of incident
- Shift started
- 13:42
- Time of incident
- 16:00
- 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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