SIMI VALLEY, CA ·
OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Injury · Job transfer or restriction
At a glance
On , an injury at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in job transfer or restriction. Employee was GM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
- Parent company
- Albertson's LLC
- Street
- 1268 MADERA ROAD
- City
- SIMI VALLEY
- State
- CA
- ZIP
- 93065
- On-site location
- DELI DEPARTMENT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 59
Before the incident
CASE PREP SET-UP BREAKDOWN
What happened
Ee Alleges He Was Lifting A Box Of Chicken Causing Him To Bend His Right Little Finger Backwards Resulting In Injury.
Injury or illness
Sprained Right Finger(s) Carrying CHICKEN BOX
Object or substance involved
CHICKEN BOX
Summary line
Ee Alleges He Was Lifting A Box Of Chicken Causing Him To Bend His Right Little Finger Backwards Resulting In Injury.
Employee and industry
- Job description
- GM HBC Clerk
- SOC code
- 41-2031: Retail Salespersons
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 107
- Hours worked at this establishment (2023 total)
- 170,834
- EIN
- 820184434
- Establishment ID
- 1140500
- Employer case #
- 81509
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 14:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-20
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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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