N Hollywood, CA ·
OSHA Injury Report: 005-North Hollywood CA
Injury · Days away from work
At a glance
On , an injury at 005-North Hollywood CA in 12727 Sherman Way, N Hollywood, CA 91605 resulted in days away from work. Employee was laborerbaker in supermarkets and Other Grocery except Convenience Stores.
Where did this happen?
- Establishment
- 005-North Hollywood CA
- Parent company
- Chedraui USA
- Street
- 12727 Sherman Way
- City
- N Hollywood
- State
- CA
- ZIP
- 91605
- On-site location
- BAKERY DEPARTMENT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 29
Before the incident
PERFORMING NORMAL JOB DUTIES IN BAKERY DEPARTMENT
What happened
CERVICAL SPRAIN and RIGHT SHOULDER CONTUSION OF BACK and LEFT HAND THAT TOOK PLACE WHEN EE SLIPPED AND FELL ON BACK WHILE IN THE BAKERY DEPARTMENT HITTING BACK OF HEAD ON THE GROUND
Injury or illness
CERVICAL SPRAIN and RIGHT SHOULDER CONTUSION OF BACK and LEFT HAND THAT TOOK PLACE WHEN EE SLIPPED AND FELL ON BACK WHILE IN THE BAKERY DEPARTMENT HITTING BACK OF HEAD ON THE GROUND
Object or substance involved
SLIPPING AND FALLING ON BACK HITTING BACK OF HEAD
Summary line
CERVICAL SPRAIN and RIGHT SHOULDER CONTUSION OF BACK and LEFT HAND THAT TOOK PLACE WHEN EE SLIPPED AND FELL ON BACK WHILE IN THE BAKERY DEPARTMENT HITTING BACK OF HEAD ON THE GROUND
Employee and industry
- Job description
- LABORERBAKER
- SOC code
- 00-9900: Insufficient Information - NIOSH
- NAICS code
- 445110: Supermarkets and Other Grocery except Convenience Stores
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 94
- Hours worked at this establishment (2025 total)
- 158,509
- EIN
- 954517472
- Establishment ID
- 1476316
- Employer case #
- BODLAT-35
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 13:45
- Filing year
- 2025
- Submitted to OSHA
- 2026-03-11
More injuries at 005-North Hollywood CA
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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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