Valley Village, CA ·
OSHA Injury Report: North Hollywood - Store 003
Injury · Days away from work
At a glance
On , an injury at North Hollywood - Store 003 in 4738 Laurel Canyon Blvd.,, Valley Village, CA 91607 resulted in days away from work. Employee was SVC Deli in food (i.e., groceries) stores.
Where did this happen?
- Establishment
- North Hollywood - Store 003
- Parent company
- Gelsons Markets
- Street
- 4738 Laurel Canyon Blvd.,
- City
- Valley Village
- State
- CA
- ZIP
- 91607
- On-site location
- SVC Deli
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 174
Before the incident
EE was working in the SVC Deli.
What happened
EE alleges while working in the [REDACTED] he tripped on a mat and fell.
Injury or illness
R Shoulder and Rib Contusion and should dislocation.
Object or substance involved
Mat
Summary line
R Shoulder Rib Contusion shoulder Disp
Employee and industry
- Job description
- SVC Deli
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Food (i.e., groceries) stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 104
- Hours worked at this establishment (2025 total)
- 172,949
- EIN
- 952090136
- Establishment ID
- 1380337
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 09:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-25
More injuries at North Hollywood - Store 003
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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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