NEWPORT BEACH, CA —
OSHA Injury Report: SWY-0029-0029-03005 FAC-03005-NEWPORT BEACH-CA
Injury · Other recordable case
At a glance
On , an injury at SWY-0029-0029-03005 FAC-03005-NEWPORT BEACH-CA in NEWPORT BEACH, CA 92663 resulted in other recordable case. Employee was courtesy Clerk in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- SWY-0029-0029-03005 FAC-03005-NEWPORT BEACH-CA
- Parent company
- The Vons Companies, Inc
- Street
- 3100 W BALBOA BLVD
- City
- NEWPORT BEACH
- State
- CA
- ZIP
- 92663
- On-site location
- AISLE 4
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
Employee tripped on own feet walking down aisle 4. Complained of hurt left elbow at time of injury ([REDACTED]). Sister (caretaker) stated he was fine 2 5 and 2 6. On [REDACTED] called the store and stated his right ankle was hurting.
Injury or illness
Sprained Right Ankle Fall OWN FEET
Object or substance involved
OWN FEET
Summary line
Employee tripped on own feet walking down aisle 4. Complained of hurt left elbow at time of injury ([REDACTED]). Sister (caretaker) stated he was fine 2 5 and 2 6. On [REDACTED] called the store and stated his right ankle was hurting.
Employee and industry
- Job description
- Courtesy Clerk
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 85
- Total hours worked
- 147882
- EIN
- 381623900
- Establishment ID
- 1142217
- Employer case #
- 80923
When (timing detail)
- Date of incident
- Shift started
- 9:08:00.000
- Time of incident
- 13:30:00.000
- 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.