Pacoima, CA —
OSHA Injury Report: 704-00377
Injury · Days away from work
At a glance
On , an injury at 704-00377 in Pacoima, CA 91331 resulted in days away from work. Employee was uTILITY CLERK in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00377
- Parent company
- Food 4 Less FoodsCo
- Street
- 12765 Van Nuys Blvd
- City
- Pacoima
- State
- CA
- ZIP
- 91331
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 177
Before the incident
[REDACTED] CARTS
What happened
EE WAS GATHERING CARTS AND TRIPPED OVER THE CONCRETE BUMPER AND HURT HIS LEFT SIDE LEFT KNEE AND [REDACTED]
Injury or illness
Bruised Left Knee Fall CONCRETE BUMPER
Object or substance involved
CONCRETE BUMPER
Summary line
Bruised Left Knee Fall CONCRETE BUMPER
Employee and industry
- Job description
- UTILITY CLERK
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 106200
- EIN
- 951456805
- Establishment ID
- 967172
- Employer case #
- 847649
When (timing detail)
- Date of incident
- Shift started
- 15:15:00.000
- Time of incident
- 21:30:00.000
- 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.