San Mateo, CA —
OSHA Injury Report: San Mateo
Injury · Other recordable case
At a glance
On , an injury at San Mateo in San Mateo, CA 94401 resulted in other recordable case. Employee was general Merchandise Clerk in supermarkets.
Where did this happen?
- Establishment
- San Mateo
- Parent company
- Draeger's Supermarkets, Inc.
- Street
- 222 East Fourth Avenue
- City
- San Mateo
- State
- CA
- ZIP
- 94401
- On-site location
- Deli Department
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Changing the plates at the Deli case.
What happened
The employee slipped on the wet floor behind the Deli counter and caught himself by grabbing the counter. The employee stated that he was hanging sideways in an awkward position that hurt his back. The employee wasn 't wearing non-slip shoes. The employee refused to seek treatment at this time.
Injury or illness
Back injury
Object or substance involved
wet floor and not wearing the appropriate work shoes
Summary line
Employee slipped on wet floor.
Employee and industry
- Job description
- General Merchandise Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 92
- Total hours worked
- 148950
- EIN
- 941275989
- Establishment ID
- 313125
- Employer case #
- R2023020
When (timing detail)
- Date of incident
- Time of incident
- 19:50:00.000
- Submitted
- 13JAN24:01:00:00
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.