SAN CLEMENTE, CA —
OSHA Injury Report: ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA
Injury · Other recordable case
At a glance
On , an injury at ABS-0029-0028-04563 FAC-04563-SAN CLEMENTE-CA in SAN CLEMENTE, CA 92673 resulted in other recordable case. Employee was food 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
- GROCERY WORKS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PICKING UP TOTE
What happened
Picking up a tote. Stood up and hit head on a shelf.
Injury or illness
Sprained Neck Lifting SHELF
Object or substance involved
SHELF
Summary line
Picking up a tote. Stood up and hit head on a shelf.
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 177898
- EIN
- 381623900
- Establishment ID
- 1142016
- Employer case #
- 88678
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 10:00:00.000
- Submitted
- 21FEB24:00:40:00
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.