LAKE ISABELLA, CA —
OSHA Injury Report: SWY-0029-0029-02413 FAC-02413-LAKE ISABELLA-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0029-0029-02413 FAC-02413-LAKE ISABELLA-CA in LAKE ISABELLA, CA 93240 resulted in days away from work. Employee was food Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-02413 FAC-02413-LAKE ISABELLA-CA
- Parent company
- The Vons Companies, Inc
- Street
- 5610 LAKE ISABELLA BLVD
- City
- LAKE ISABELLA
- State
- CA
- ZIP
- 93240
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
GRABBING BOX
What happened
Ee Alleges About [REDACTED] He Was Reaching To Grab A Box In The Deli And His R Shoulder Popped Followed By Pain.it was Left shoulder not the right ([REDACTED] took the report over phone)
Injury or illness
Dislocated Right Shoulder(s) Reaching BOX
Object or substance involved
BOX
Summary line
Ee Alleges About [REDACTED] He Was Reaching To Grab A Box In The Deli And His R Shoulder Popped Followed By Pain.it was Left shoulder not the right ([REDACTED] took the report over phone)
Employee and industry
- Job description
- Food Clerk
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 91
- Total hours worked
- 151911
- EIN
- 381623900
- Establishment ID
- 1142179
- Employer case #
- 91076
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 9:30:00.000
- Submitted
- 26FEB24:23:55:00
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.