Pacoima, CA —
OSHA Injury Report: Superior Grocers 111
Injury · Job transfer or restriction
At a glance
On , an injury at Superior Grocers 111 in Pacoima, CA 91331 resulted in job transfer or restriction. Employee was tortilleria Clerk 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 TOR
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
walking by the front end
What happened
EE states while working she was walking and the security guard accidently collided her with full force while following a customer causing her to land on the ground injuring her left elbow EE states she is right hand dominant EE denied head injury
Injury or illness
Contusion
Object or substance involved
Floor
Summary line
Right elbow injury
Employee and industry
- Job description
- Tortilleria Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Grocery Store
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 144706
- EIN
- 954519109
- Establishment ID
- 675706
- Employer case #
- 2023007012
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 16:10:00.000
- 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.