SAN LUIS OBISPO, CA ·
OSHA Injury Report: SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA in 3900 BROAD STREET, SAN LUIS OBISPO, CA 93401 resulted in other recordable case. Employee was clerk Managing in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-02306 FAC-02306-SAN LUIS OBISPO-CA
- Parent company
- The Vons Companies, Inc
- Street
- 3900 BROAD STREET
- City
- SAN LUIS OBISPO
- State
- CA
- ZIP
- 93401
- On-site location
- GROCERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PALLET STACKING
What happened
Lifted a heavy box and a sharp pain in my back on the right side
Injury or illness
Strained Posterior Low back Lifting HEAVY BOX
Object or substance involved
HEAVY BOX
Summary line
Lifted a heavy box and a sharp pain in my back on the right side
Employee and industry
- Job description
- Clerk Managing
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 147
- Hours worked at this establishment (2023 total)
- 209,215
- EIN
- 381623900
- Establishment ID
- 1142154
- Employer case #
- 91887
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 22:50
- 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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