Pacoima, CA —
OSHA Injury Report: Superior Grocers 111
Injury · Days away from work
At a glance
On , an injury at Superior Grocers 111 in Pacoima, CA 91331 resulted in days away from work. Employee was meat Wrapper 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 MEA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
- Days restricted or transferred
- 72
Before the incident
cleaning
What happened
EE states after washing the meat grinder he slipped and fell from the second from the bottom step of a ladder landing on his left shoudler
Injury or illness
Strain
Object or substance involved
Step Ladder
Summary line
Acute pain of left shoulder contuson of left shoulder left hip pain contusion of hip
Employee and industry
- Job description
- Meat Wrapper
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Grocery Store
- NAICS vintage
- 2022
- Avg employees
- 105
- Total hours worked
- 144706
- EIN
- 954519109
- Establishment ID
- 675706
- Employer case #
- 2023009661
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 18:45:00.000
- 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.