NEWPORT BEACH, CA —
OSHA Injury Report: SWY-0029-0029-01911 FAC-01911-NEWPORT BEACH-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0029-0029-01911 FAC-01911-NEWPORT BEACH-CA in NEWPORT BEACH, CA 92657 resulted in other recordable case. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-01911 FAC-01911-NEWPORT BEACH-CA
- Parent company
- The Vons Companies Inc
- Street
- 21181 NEWPORT COAST DRIVE
- City
- NEWPORT BEACH
- State
- CA
- ZIP
- 92657
- On-site location
- DELI COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
STOCKING
What happened
EE was walking to the deli cooler when she step on a floor mat the mat moved causing her to slip and fall when she fell she landed on her rights side most of her weight landed on her shoulder This resulted in her shoulder getting bruise
Injury or illness
Sprained Right Shoulder s Fall Floor mat
Object or substance involved
Floor mat
Summary line
EE was walking to the deli cooler when she step on a floor mat the mat moved causing her to slip and fall when she fell she landed on her rights side most of her weight landed on her shoulder This resulted in her shoulder getting bruise
Employee and industry
- Job description
- GM HBC Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 143
- Total hours worked
- 230969
- EIN
- 381623900
- Establishment ID
- 1142044
- Employer case #
- 109850
When (timing detail)
- Date of incident
- Shift started
- 3:00
- Time of incident
- 10:55
- Filing year
- 2025
- Submitted
- 21FEB26:01:39:00
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.