Covina, CA —
OSHA Injury Report: Superior Grocers 115
Injury · Other recordable case
At a glance
On , an injury at Superior Grocers 115 in Covina, CA 91722 resulted in other recordable case. Employee was utility Clerk in grocery Store.
Where did this happen?
- Establishment
- Superior Grocers 115
- Parent company
- Super Center Concepts Inc
- Street
- 1375 N Citrus Avenue
- City
- Covina
- State
- CA
- ZIP
- 91722
- On-site location
- Store 115 UTI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Using a ladder to clean the wall
What happened
EE states he was cleaning while using an 8 foot ladder EE states he had leaned the ladder on the wall and fell while he was on the 4th ring of the ladder EE states he fell onto the ladder with his right knee and bilateral hands
Injury or illness
Contusion
Object or substance involved
Ladder
Summary line
contusion of knee and lower leg right side
Employee and industry
- Job description
- Utility Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Grocery Store
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 148813
- EIN
- 954519109
- Establishment ID
- 675710
- Employer case #
- 2023004819
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 13:15:00.000
- 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.