SANTA ANA, CA —
OSHA Injury Report: SWY-0029-0029-01626 FAC-01626-SANTA ANA-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0029-0029-01626 FAC-01626-SANTA ANA-CA in SANTA ANA, CA 92704 resulted in other recordable case. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-01626 FAC-01626-SANTA ANA-CA
- Parent company
- The Vons Companies, Inc
- Street
- 3650 BRISTOL STREET
- City
- SANTA ANA
- State
- CA
- ZIP
- 92704
- On-site location
- DUG ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
Employee tripped in the dug room and fell backwards and hit her head on the ground.
Injury or illness
Concussion Left Skull Fall GROUND
Object or substance involved
GROUND
Summary line
Employee tripped in the dug room and fell backwards and hit her head on the ground.
Employee and industry
- Job description
- GM HBC Clerk
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 86
- Total hours worked
- 144321
- EIN
- 381623900
- Establishment ID
- 1142027
- Employer case #
- 91846
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 20:00:00.000
- Submitted
- 26FEB24:23:53:00
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.