Danville, CA —
OSHA Injury Report: Blackhawk
Injury · Days away from work
At a glance
On , an injury at Blackhawk in Danville, CA 94506 resulted in days away from work. Employee was food Journeyman Clerk in supermarkets.
Where did this happen?
- Establishment
- Blackhawk
- Parent company
- Draeger's Supermarkets, Inc.
- Street
- 4100 Blackhawk Plaza Circle
- City
- Danville
- State
- CA
- ZIP
- 94506
- On-site location
- Flower display near the front entrance
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
The employee pulled a boutique of flowers from their water and placed the bucket of water on the floor next to her. Pulling another boutique from their bucket she forgot about the first bucket of water on the floor and tripped over it which then caused her to fall on both hands and knees.
What happened
The employee pulled a boutique of flowers from their water and placed the bucket of water on the floor next to her. Pulling another boutique from their bucket she forgot about the first bucket of water on the floor and tripped over it. Which then caused her to fall on both hands and knees.
Injury or illness
Contusion of left knee and right knee
Object or substance involved
flower bucket on the floor - trip hazard Employee wasn 't paying attention
Summary line
Tripped Over Flower Bucket of Water. Fell on both hands and knees.
Employee and industry
- Job description
- Food Journeyman Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 54
- Total hours worked
- 90701
- EIN
- 941275989
- Establishment ID
- 313128
- Employer case #
- R2023003
When (timing detail)
- Date of incident
- Submitted
- 13JAN24:00:47:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.