LAKE HAVASU CITY, AZ ·
OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Injury · Job transfer or restriction
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 job transfer or restriction. 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
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 54
Before the incident
FOOD PRODUCT PREP
What happened
Employee slipped and sprained her knee.
Injury or illness
Sprained Left Knee Fall OWN SELF
Object or substance involved
OWN SELF
Summary line
Employee slipped and sprained her knee.
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 #
- 65537
When (timing detail)
- Date of incident
- Shift started
- 14:56
- Time of incident
- 19:00
- 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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