Pacoima, CA —
OSHA Injury Report: Superior Grocers 111
Injury · Other recordable case
At a glance
On , an injury at Superior Grocers 111 in Pacoima, CA 91331 resulted in other recordable case. Employee was cashier in grocery Store.
Where did this happen?
- Establishment
- Superior Grocers 111
- Parent company
- Super Center Concepts Inc
- Street
- 9801 Laurel Canyon Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- Store 111 CAS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Scanning items at the register
What happened
EE states that she was picking up a case of beer when she fainted and hit her head
Injury or illness
Contusion
Object or substance involved
fainted
Summary line
contusion of head
Employee and industry
- Job description
- Cashier
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Grocery Store
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 144706
- EIN
- 954519109
- Establishment ID
- 675706
- Employer case #
- 2023004310
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 22FEB24:22:55:00
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.