Valley Village, CA ·
OSHA Injury Report: North Hollywood - Store 003
Injury · Job transfer or restriction
At a glance
On , an injury at North Hollywood - Store 003 in 4738 Laurel Canyon Boulevard, Valley Village, CA 91607 resulted in job transfer or restriction. Employee was GM CLK in grocery stores.
Where did this happen?
- Establishment
- North Hollywood - Store 003
- Parent company
- Gelsons Markets
- Street
- 4738 Laurel Canyon Boulevard
- City
- Valley Village
- State
- CA
- ZIP
- 91607
- On-site location
- Service Deli
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 117
Before the incident
Employee picked up a fry basket.
What happened
While employee was picking up fry basket employee felt pain on R [REDACTED].
Injury or illness
R Elbow sprain.
Object or substance involved
Fry basket
Summary line
[REDACTED]
Employee and industry
- Job description
- GM CLK
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Grocery stores
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 123
- Hours worked at this establishment (2023 total)
- 258,194
- EIN
- 952090136
- Establishment ID
- 1152840
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 14:57
- Time of incident
- 16:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-23
More injuries at North Hollywood - Store 003
View North Hollywood - Store 003's full OSHA safety record →
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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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