COSTA MESA, CA —
OSHA Injury Report: SWY-0029-0029-02513 FAC-02513-COSTA MESA-CA
Injury · Days away from work
At a glance
On , an injury at SWY-0029-0029-02513 FAC-02513-COSTA MESA-CA in COSTA MESA, CA 92627 resulted in days away from work. Employee was gM HBC Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-02513 FAC-02513-COSTA MESA-CA
- Parent company
- The Vons Companies, Inc
- Street
- 185 E 17TH STREET
- City
- COSTA MESA
- State
- CA
- ZIP
- 92627
- On-site location
- DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 179
Before the incident
CLEANING - CASE EQUIPMENT OR TOOLS
What happened
employee tripped on the deli hose
Injury or illness
Bruised Posterior Low back Fall HOSE
Object or substance involved
HOSE
Summary line
employee tripped on the deli hose
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
- 75
- Total hours worked
- 127532
- EIN
- 381623900
- Establishment ID
- 1142190
- Employer case #
- 88777
When (timing detail)
- Date of incident
- Shift started
- 13:15:00.000
- Time of incident
- 18:00:00.000
- 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.