SAN CLEMENTE, CA ·
OSHA Injury Report: ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
Injury · Job transfer or restriction
At a glance
On , an injury at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA in 989 AVENDIA PICO, SAN CLEMENTE, CA 92673 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-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
- Parent company
- The Vons Companies, Inc
- Street
- 989 AVENDIA PICO
- City
- SAN CLEMENTE
- State
- CA
- ZIP
- 92673
- On-site location
- COFFEE KIOSK
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
PRODUCT TRANSFER MATERIAL HANDLING
What happened
Employee stated that right arm near bicep was hurting around [REDACTED] on [REDACTED]. Employee stated that [REDACTED] they are unable to use their arm and came to work to tell managment
Injury or illness
Sprained Right Lower arm Strained MATERIAL AT COFEE SHOP
Object or substance involved
MATERIAL AT COFEE SHOP
Summary line
Employee stated that right arm near bicep was hurting around [REDACTED] on [REDACTED]. Employee stated that [REDACTED] they are unable to use their arm and came to work to tell managment
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)
- 105
- Hours worked at this establishment (2023 total)
- 177,898
- EIN
- 381623900
- Establishment ID
- 1142016
- Employer case #
- 81318
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 14:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-21
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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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