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 deli Clerk 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
- Deli Storage
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Retrieving Backstock
What happened
Trip and Fall Injuring Shins
Injury or illness
Right and Left Shin Bruising
Object or substance involved
Storage Cart
Summary line
Trip and Fall Injuring Shins
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 93
- Total hours worked
- 150000
- Establishment ID
- 912128
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 6:00:00.000
- Submitted
- 03JAN24:21:41:00
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.