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
- 30
Before the incident
Employee was coming out of service [REDACTED].
What happened
While employee was coming out of the service deli employees foot got caught on the edge of mat caused employee to fall forward.
Injury or illness
Rib strain
Object or substance involved
Rubber Mat
Summary line
Rib Strain
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 #
- 7
When (timing detail)
- Date of incident
- Shift started
- 06:51
- Time of incident
- 07:26
- 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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