West Covina, CA —
OSHA Injury Report: 704-00337
Injury · Other recordable case
At a glance
On , an injury at 704-00337 in West Covina, CA 91791 resulted in other recordable case. Employee was courtesy Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00337
- Parent company
- Food 4 Less FoodsCo
- Street
- 615 N Azusa Ave
- City
- West Covina
- State
- CA
- ZIP
- 91791
- On-site location
- FRONT OF STORE AT LOTTERY MACHINE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
BENDING DOWN PICKING UP PAPER
What happened
EE was picking up paper off of the floor andas EE was standing up hit the front of headclose to forehead on a lottery machine EE sustained a laceration to scalp causing bleeding EE plans to seek treatment
Injury or illness
Lacerated Anterior Face struck against stationary obje LOTTERY MACHINE
Object or substance involved
LOTTERY MACHINE
Summary line
Lacerated Anterior Face struck against stationary obje LOTTERY MACHINE
Employee and industry
- Job description
- Courtesy Clerks
- SOC code
- 53-7064 — Packers and Packagers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 60
- Total hours worked
- 84437
- EIN
- 330293011
- Establishment ID
- 967141
- Employer case #
- 847116
When (timing detail)
- Date of incident
- Shift started
- 4:00:00.000
- Time of incident
- 4:30:00.000
- Submitted
- 28FEB24:17:07:00
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.