SIMI VALLEY, CA ·
OSHA Injury Report: ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA
Respiratory condition · Days away from work
At a glance
On , a respiratory condition at ABS-0029-0028-00393 FAC-00393-SIMI VALLEY-CA in 1268 MADERA ROAD, SIMI VALLEY, CA 93065 resulted in days away from work. 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
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Respiratory condition (code 3)
- Days away from work
- 5
Before the incident
NORMAL DUTIES
What happened
Tested Positive for COVID - 19
Injury or illness
COVID-19 Respiratory system Pandemic COVID19
Object or substance involved
COVID 19
Summary line
Tested Positive for COVID - 19
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 #
- 81853
When (timing detail)
- Date of incident
- Shift started
- 00:00
- Time of incident
- 12:00
- 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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