Apple Valley, CA —
OSHA Injury Report: 704-00782
Injury · Days away from work
At a glance
On , an injury at 704-00782 in Apple Valley, CA 92308 resulted in days away from work. Employee was general Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 704-00782
- Parent company
- Food 4 Less FoodsCo
- Street
- 20801 Bear Valley Rd
- City
- Apple Valley
- State
- CA
- ZIP
- 92308
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 33
Before the incident
ASKING SOLICITORS TO LEAVE PREMISES
What happened
EE WAS ASKED TO GO OUTSIDE AND ASKED MALE AND FEMALE BOTHERING CMS AT DOOR TO LEAVE PREMISESCM MALE PULLED OUT A KNIFE ON EE EE TOOK A COUPLE STEPS BACK CM MALE THEN PUNCHED EE IN FACE AND IN HIS BODY A COUPLE MORE TIMES
Injury or illness
Lacerated Anterior Nose Person in act of crime ASSAILANT
Object or substance involved
ASSAILANT
Summary line
Lacerated Anterior Nose Person in act of crime ASSAILANT
Employee and industry
- Job description
- General Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 65
- Total hours worked
- 87432
- EIN
- 954356030
- Establishment ID
- 967215
- Employer case #
- 854504
When (timing detail)
- Date of incident
- Shift started
- 11:30:00.000
- Time of incident
- 12:56:00.000
- 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.