LAKE HAVASU CITY, AZ —
OSHA Injury Report: ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ
Injury · Days away from work
At a glance
On , an injury at ABS-0017-0016-03204 FAC-03204-LAKE HAVASU CITY-AZ in LAKE HAVASU CITY, AZ 86403 resulted in days away from work. Employee was grocery 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
- LIQUOR DEPT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
Before the incident
PALLET LOAD BREAKDOWN SORT
What happened
Employee was pushing a pallet through the store slowed to turn a corner went to push off again knee felt a pop
Injury or illness
Rupture Left Knee Struck by object being handled OWN KNEE
Object or substance involved
OWN KNEE
Summary line
Employee was pushing a pallet through the store slowed to turn a corner went to push off again knee felt a pop
Employee and industry
- Job description
- Grocery Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 127
- Total hours worked
- 201519
- EIN
- 820184434
- Establishment ID
- 1140251
- Employer case #
- 67142
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:50:00.000
- Submitted
- 20FEB24:22:47:00
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.