Irvine, CA —
OSHA Injury Report: Victory Foam, Inc.
Other illness · Other recordable case
At a glance
On , an other illness at Victory Foam, Inc. in Irvine, CA 92595 resulted in other recordable case. Employee was shipping Supervixor in urethane foam products manufacturing.
Where did this happen?
- Establishment
- Victory Foam, Inc.
- Parent company
- Victory Foam, Inc.
- Street
- 3 Holland
- City
- Irvine
- State
- CA
- ZIP
- 92595
- On-site location
- Inside trailer #843703 on Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
loading foam packages onto the deck of a trailer parked in the dock.
What happened
Employee was loading packages onto the deck of a trailer and turned to leave when he forgot he was higher than the main floor level. As he stepped off the deck and landed on his Right foot leg about 20 down his Right Knee bent back slightly.
Injury or illness
Sprain of Right Knee.
Object or substance involved
His Right foot leg landing on the trailer floor causing his knee to bend back slightly.
Summary line
employee turned and stepped off of trailer deck and when right leg hit the floor his knee was bent backward slightly
Employee and industry
- Job description
- Shipping Supervixor
- SOC code
- 43-1011 — First-Line Supervisors of Office and Administrative Support Workers
- NAICS code
- 326150 — Urethane foam products manufacturing
- NAICS vintage
- 2022
- Avg employees
- 99
- Total hours worked
- 191017
- EIN
- 953722061
- Establishment ID
- 683108
- Employer case #
- 52023
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 22JAN24:20:01:00
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.