LAKE HAVASU CITY, AZ ·
OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Injury · Other recordable case
At a glance
On , an injury at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ in 1980 MCCULLOCH BLVD, LAKE HAVASU CITY, AZ 86403 resulted in other recordable case. Employee was deli Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
- Parent company
- Albertson's LLC
- Street
- 1980 MCCULLOCH BLVD
- City
- LAKE HAVASU CITY
- State
- AZ
- ZIP
- 86403
- On-site location
- DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
CLEANING - CASE EQUIPMENT OR TOOLS
What happened
Employee [REDACTED] fell while performing his duties of cleaning while in the [REDACTED] causing a laceration in his right hand that started to bleed profusely
Injury or illness
Lacerated Right Hand Fall DELI DISPLAY
Object or substance involved
DELI DISPLAY
Summary line
Employee [REDACTED] fell while performing his duties of cleaning while in the [REDACTED] causing a laceration in his right hand that started to bleed profusely
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 127
- Hours worked at this establishment (2023 total)
- 201,519
- EIN
- 820184434
- Establishment ID
- 1140251
- Employer case #
- 65338
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 20:42
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-20
More injuries at ABS-0017-0016-03204 Fac-03204-Lake Havasu City-Az
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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