Clearlake, CA —
OSHA Injury Report: Foods Etc.
Injury · Other recordable case
At a glance
On , an injury at Foods Etc. in Clearlake, CA 95422 resulted in other recordable case. Employee was cashier in supermarkets.
Where did this happen?
- Establishment
- Foods Etc.
- Parent company
- Berry Joe Corporation
- Street
- 15290 Lakeshore Drive
- City
- Clearlake
- State
- CA
- ZIP
- 95422
- On-site location
- Storage Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Slip and Fall on Left Side
Injury or illness
Left Elbow Injury
Object or substance involved
None
Summary line
Slip and Fall on Left Side
Employee and industry
- Job description
- Cashier
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 93
- Total hours worked
- 150000
- Establishment ID
- 912128
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 14:45:00.000
- Submitted
- 03JAN24:21:34:00
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.